Oral contraception in disease states

Am J Obstet Gynecol. 1990 Dec;163(6 Pt 2):2213-6. doi: 10.1016/0002-9378(90)90564-n.

Abstract

Oral contraceptives are clearly contraindicated in patients with a history of thromboembolic disease, ischemic heart attack, or cerebral stroke. Patients requiring long-term anticoagulant treatment can be treated with gonadotropin-releasing hormone analogs to prevent ovulation, because ruptured follicles can cause massive intraperitoneal bleeding. Patients with essential hypertension and severe liver diseases should also discontinue treatment 4 weeks before major elective surgery. Migraine and diabetes mellitus are regarded as relative contraindications, depending on the individual situation. Long-term diseases, such as Crohn's disease, epilepsy, and sickle cell anemia, also require individualized consultation.

Publication types

  • Review

MeSH terms

  • Cerebrovascular Disorders
  • Contraceptives, Oral*
  • Contraindications
  • Coronary Disease
  • Diabetes Mellitus
  • Female
  • Humans
  • Hypertension
  • Liver Diseases
  • Thromboembolism

Substances

  • Contraceptives, Oral