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Hello RK,

I applaud you for your effort and forethought in making this decision.

Citing the article,"Oral Contraceptives"
By Laura Sech, Penina Segall-Gutierrez, MD, MSc; Emily Silverstein; Daniel R. Mishell, Jr., MD

"Current use of OCs does not increase the risk of breast cancer, nor does former use in women aged 35 to 65. Also, risk is not increased in high-risk groups (eg, women with certain benign breast disorders or a family history of breast cancer)."

"The incidence of deep venous thrombosis and thromboembolism (eg, pulmonary embolism) increases as the estrogen dose is increased. With OCs that contain 10 to 35 mcg of estrogen, risk is 2 to 4 times the risk at baseline. However, this increased risk is still much lower than the risk associated with pregnancy. A wide variety of progestins in combination OCs may also affect this risk. OCs that contain levonorgestrel appear to lower this risk, and OCs that contain drospirenone or desogestrel may increase it. Risk is probably increased because production of clotting factors in the liver and platelet adhesion are increased. If deep vein thrombosis or pulmonary embolism is suspected in a woman taking OCs, OCs should be stopped immediately until results of diagnostic tests can confirm or exclude the diagnosis. Also, OCs should be stopped as soon as possible before any major surgery that requires immobilization for a long time. Women with a family history of idiopathic venous thromboembolism should not use OCs that contain estrogen.'

Merck Manual Professional Version
http://www.merckmanuals.com/professional/gynecology-and-obstetrics/family-planning/oral-contraceptives

RK, smoking cigarettes during the use of oral contraceptives has been found to greatly increase the chances of benign (not cancerous) liver tumors, liver cancer, or blood clots or related problems, such as a stroke. Cigarette smoking increases the risk of serious cardiovascular side effects from oral contraceptive use.

I do hope this information is helpful.
Regards,
Maryann

February 3, 2016 - 9:36am

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