n CME : Your SA Journal of CPD - Prescribing combined oral contraceptives for women with pre-existing medical conditions : clinical pharmacology




COCs are safe and effective when used correctly and consistently. <BR>COCs have non-contraceptive benefits, e.g. anti-androgen. If the woman has significant cardiovascular risk factors, alternative methods should be considered. <BR>The risk of venous thromboembolism is lower with COC use than with pregnancy. <BR>Dual protection is recommended if there is risk of transmission of sexually transmitted infections including HIV. <BR>If a woman is taking medication which lowers the efficacy of the low-dose COC (&lt; 35 µg EE) an alternative or additional method is recommended. <BR>For missed pills, apply the two for twenty and three for thirty rule.


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