Hi @bracha, You’re concerned about not taking any medication right now for your PV except for the monthly phlebotomies and wondering if this is the right track to continue. Quite honestly, this is a discussion you should be having with your hematologist. Each person’s health and diagnosis is unique to them. Doctor’s will suggest treatment options depending on the needs of their patient…it’s not a ‘one size fits all’.

While taking low-dose aspirin is occasionally prescribed for patients with PV, from my understanding, if the platelet levels are low then it may not be warranted because the risk of clots forming is reduced. I had a similar situation where my hematocrit and hemoglobin were elevated but my platelet level lower. My doctor felt my risk for developing aspirin related side effects outweighed the benefit for what was a minimal clotting risk situation at that time.
Have you discussed long term options with your hematologist? Do you trust your doctor? Or would it be advisable to consider a 2nd opinion?