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Contraception: Contraindications of Combination Oral Contraceptives

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Contraception: Contraindications of Combination Oral Contraceptives

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Combination oral contraceptives (COCs) are a type of birth control that contains both estrogen and progestin. While they are generally safe and effective for most women, there are certain conditions or circumstances where they may not be recommended. These are known as contraindications.

  1. Age: Women over the age of 35 who smoke are advised not to use COCs due to an increased risk of cardiovascular disease.

  2. History of thromboembolic disorders: Women with a history of deep vein thrombosis, pulmonary embolism, or stroke should not use COCs due to an increased risk of blood clots.

  3. Cardiovascular disease: Women with a history of heart disease, high blood pressure, or certain types of irregular heartbeat may be advised against using COCs.

  4. Liver disease: Women with severe liver disease or liver tumors should not use COCs.

  5. Migraines: Women who have migraines with aura should not use COCs due to an increased risk of stroke.

  6. Breast cancer: Women with current or past breast cancer should not use COCs.

  7. Diabetes: Women with diabetes that have had the disease for over 20 years or have complications from the disease should not use COCs.

  8. Pregnancy: COCs should not be used during pregnancy.

  9. Uncontrolled hypertension: Women with uncontrolled high blood pressure should not use COCs.

  10. Obesity: Women with a BMI of 30 or higher may be advised against using COCs due to an increased risk of blood clots.

It's important to note that this is not an exhaustive list and there may be other contraindications depending on individual health circumstances. Always consult with a healthcare provider before starting any new medication.

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