Combined Oral Contraceptive Pills

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Combined Oral Contraceptive Pills

Mechanism of Action
  • Inhibits Ovulation.
  • Inhibits implatation.
Effectiveness
  • 99 % effective.
Non Contraceptive Benifits of COCPs
  • Reduction in Ovarian and endometrial Cancers.
  • Decreases menstrual loss and menstrual pain.
Side effects
  • Venous Thromboembolism
  • MI
  • Stroke
  • Breast Cancer
  • Cervical Cancer
Effect of type of COCP on risk of thromboembolism
  • Risk of arterial venous thrombosis depends upon type of Progesterone.
  • Risk of arterial venous thrombosis depends upon the type of Estrogen.
Contraindications
UK-MEC category 3 and 4 should be taken into account for contraindications of COCPs.
Category 3 
  • Venous Thromboembolism
  • MI
  • Stroke
  • Breast 
  • Migraine Headache without Aura
Category 4
  • Venous Thromboembolism
  • Migraine Headache with Aura
Missed Pills Protocol
  • Week 1 :- Emergency Contraception required.
  • Week 2 :- Emergency Contraception not required.
  • Week 3 :- Emergency Contraception required.

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