I was diagnosed with Type 1 VWD about a year ago. My gynecologist casually mentioned that I could have it,prompting me to get tested and find out that I actually do have it. My hematologist says that I am low in iron and iron saturation but that I am not anemic and that I could consider birth control if I wanted to. My gynecologist claims that the only BC I can take is an IUD called Skyla or the Depo shot. She says the IUD is the most effective but it can increase bleeding for up to 6 months to a year,along with some nasty side effects. Depo also has some nasty side effects. I explained this to my hematologist and he said it was my decision but the fact that the IUD can increase bleeding as well as the other effects was a matter of if I want to take that risk of bleeding more and my iron count and saturation dropping. I can’t take estrogen due to migraines,so I am considering the progestin only pill. However,my gyn is convinced that I would not be compliant and an IUD would fix this. I am compliant with treatment for my medical issues. Have any women with VWD taken progestin only pills and do they seem effective?