Courses
Combined hormonal contraception
Long term safety of hormonal contraception
Choice of pill
- Acne-choose more oestrogen dominant pill
- Breast tenderness-choose more progestogen dominant pill or lower oestrogen
- Nausea-choose more progestogen dominant pill or lower oestrogen
- PFI headaches- Exclude migraine. Try lower oestrogen
- Breakthrough bleeding- Exclude other causes. Try stronger progestogen /more progestogen dominant pill
- Mood swings-choose more oestrogen dominant pill
Discontinuation rates are high!
Only 55% of the women refilled a prescription at 3 months
Murphy PA, Brixner D. Hormonal contraceptive discontinuation patterns according to formulation: investigation of associations in an administrative claims database. Contraception. 2008 Apr;77(4):257-63
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