Combined Oral Contraseptive
Combined Oral Contraseptive
Combined Oral Contraseptive
Types of COCs
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Hatcher et al 1998.
Protection:
$ Begins by 1 year of use
$ Increases with duration of use
$ Persists at least 1015 years after COCs are stopped
$ Is biologically possible
COCs: Limitations
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Of any reproductive age or parity who want highly effective protection against pregnancy
Who are postpartum and are not breastfeeding (begin after third week)
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With anemia
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Age
Endometriosis
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Postpartum:
$ after 6 months if using LAM
$ after 3 weeks if not breastfeeding
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Amenorrhea
Nausea/dizziness/vomiting
Bleeding/spotting
Acne
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Take first pill on first to seventh day (first day preferred) after beginning of your menstrual period.
Some pill packs have 28 pills. Others have 21 pills. When 28-day pack is empty, immediately start taking pills
from a new pack. When 21-day pack is empty, wait 7 days and begin taking pills from new pack.
If you vomit within 30 minutes of taking pill, take another pill or use a backup method if you have sex during
next 7 days.
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