The website is launched on 29 June 2018

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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