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Combined oral contraceptive pill: advantages/disadvantages

Combined oral contraceptive pill: advantages/disadvantages

Advantages of combined oral contraceptive pill
  • highly effective (failure rate < 1 per 100 woman years)
  • doesn't interfere with sex
  • contraceptive effects reversible upon stopping
  • usually makes periods regular, lighter and less painful
  • reduced risk of ovarian, endometrial - this effect may last for several decades after cessation
  • reduced risk of colorectal cancer
  • may protect against pelvic inflammatory disease
  • may reduce ovarian cysts, benign breast disease, acne vulgaris

Disadvantages of combined oral contraceptive pill
  • people may forget to take it
  • offers no protection against sexually transmitted infections
  • increased risk of venous thromboembolic disease
  • increased risk of breast and cervical cancer
  • increased risk of stroke and ischaemic heart disease (especially in smokers)
  • temporary side-effects such as headache, nausea, breast tenderness may be seen

Whilst some users report weight gain whilst taking the combined oral contraceptive pill a Cochrane review did not support a causal relationship.
+PassMedicine Notes
Advantages of combined oral contraceptive pill
  • highly effective (failure rate < 1 per 100 woman years)
  • doesn't interfere with sex
  • contraceptive effects reversible upon stopping
  • usually makes periods regular, lighter and less painful
  • reduced risk of ovarian, endometrial - this effect may last for several decades after cessation
  • reduced risk of colorectal cancer
  • may protect against pelvic inflammatory disease
  • may reduce ovarian cysts, benign breast disease, acne vulgaris
Disadvantages of combined oral contraceptive pill
  • people may forget to take it
  • offers no protection against sexually transmitted infections
  • increased risk of venous thromboembolic disease
  • increased risk of breast and cervical cancer
  • increased risk of stroke and ischaemic heart disease (especially in smokers)
  • temporary side-effects such as headache, nausea, breast tenderness may be seen

Whilst some users report weight gain whilst taking the combined oral contraceptive pill a Cochrane review did not support a causal relationship.



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