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Int J Cancer 1986; 38:339–344.48. The patient should be instructed to use a back-up method of birth control if she has intercourse in the 7 days after missing pills. Ory H, Naib Z, Conger SB, Hatcher RA, Tyler CW. This includes starting the pack late.The more pills you miss, the more likely you are to get pregnant.If you feel sick to your stomach, do not stop taking the pill. In case of undiagnosed, persistent or recurrent abnormal vaginal bleeding, appropriate measures should be conducted to rule out malignancy. N Engl J Med 1986; 315:405–411.37. Mann JI, Vessey MP, Thorogood M, Doll R. Myocardial infarction in young women with special reference to oral contraceptive practice. Br Med J 1986; 293:723–725.39. Some progestogens may elevate LDL levels and may render the control of hyperlipidemias more difficult.If jaundice develops in any woman receiving such drugs, the medication should be discontinued. Krauss RM, Roy S, Mishell DR, Casagrande J, Pike MC. (Pt. Risk of myocardial infarction in relation to current and discontinued use of oral contraceptives. Some studies have found an increase in the incidence of Taking the pill provides some important non-contraceptive benefits. Indirect calculations have estimated the attributable risk to be in the range of 3.3 cases/100,000 for users, a risk that increases after four or more years of use especially with oral contraceptives of higher dose (49). JAMA 1983; 249:1596–1599.74. They should be prescribed with caution, and only with careful monitoring, in patients with conditions which might be aggravated by fluid retention.Women with a history of depression should be carefully observed and the drug discontinued if depression recurs to a serious degree.Contact lens wearers who develop visual changes or changes in lens tolerance should be assessed by an ophthalmologist.Certain endocrine and liver function tests and blood components may be affected by oral contraceptives:Small amounts of oral contraceptive steroids have been identified in the milk of nursing mothers and a few adverse effects on the child have been reported, including jaundice and breast enlargement. The effects of different formulations of oral contraceptive agents on lipid and carbohydrate metabolism. N Engl J Med 1990; 323:1375– 81.94. Royal College of General Practitioners: Oral contraceptives, venous thrombosis, and varicose veins. The study concluded that with the exception of oral contraceptive users 35 and older who smoke and 40 and older who do not smoke, mortality associated with all methods of birth control is low and below that associated with childbirth.The observation of a possible increase in risk of mortality with age for oral contraceptive users is based on data gathered in the 1970’s - but not reported until 1983 (35). New York, Raven Press, 1977 pp. If it doesn’t go away, check with your doctor or healthcare provider.On the days you take 2 pills to make up for missed pills, you could also feel a little sick to your stomach.Use a back-up method (such as condoms, foam, or sponge) until you check with your doctor or healthcare provider.It is important to take it at about the same time every day.ANOTHER KIND OF BIRTH CONTROL (such as condoms, foam, or sponge) to use as a back-up in case you miss pills.You have a choice of which day to start taking your first pack of pills. Incidence of hypertension in the Walnut Creek Contraceptive Drug Study cohort. Increased risk of thrombosis due to oral contraceptives: a further report. Each light-green tablet contains inert ingredients and each light-blue tablet contains 0.01 mg ethinyl estradiol.Any woman who considers using oral contraceptives (the birth control pill or the pill) should understand the benefits and risks of using this form of birth control. More recent studies, however, have shown that the relative risk of developing gallbladder disease among oral contraceptive users may be minimal (62 to 64). These estimates include the combined risk of death associated with contraceptive methods plus the risk attributable to pregnancy in the event of method failure. Ory HW. Acta Derm Venereol, 1984; 64:517–23.Oral contraceptives, also known as “birth control pills” or “the pill”, are taken to prevent pregnancy, and when taken correctly, have a failure rate of about 1% per year when used without missing any pills. Appropriate diagnostic and therapeutic measures should be undertaken immediately.Extensive epidemiologic studies have revealed no increased risk of birth defects in women who have used oral contraceptives prior to pregnancy (55 to 57).

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