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On the other hand, progestogen-only pills are safe for use by all these groups. [38] The progestogen-only pill is also recommended for people who have recently given birth and desire a pill for contraception, given the risk of blood clots for both postpartum patients and people using estrogen-containing methods of contraception. [39]
Birth control pills containing ethinylestradiol and a progestin are associated with an increased risk of venous thromboembolism (VTE), including deep vein thrombosis (DVT) and pulmonary embolism (PE). [51] The incidence is about 4-fold higher on average than in women not taking a birth control pill. [51]
Progestogen-only contraception (or progestin-only contraception) relies on progestogens alone to achieve contraception. [1] It is one of the two major types of hormonal contraception , with the other major type being combined hormonal contraceptive methods (including both estrogen and a progestogen). [ 1 ]
Low dose progestogen-only contraceptives include traditional progestogen-only pills, the subdermal implant Jadelle and the intrauterine system Mirena. These contraceptives inconsistently inhibit ovulation in ~50% of cycles and rely mainly on their progestogenic effect of thickening the cervical mucus and thereby reducing sperm viability and ...
Progestin pills also have few conditions where a doctor would recommend against taking it, according to Dr. Fleurant. "Only people with active breast cancer should not take this pill," she says.
A 2012 meta-analysis estimated that the absolute risk of VTE is 2 per 10,000 women for non-use, 8 per 10,000 women for ethinylestradiol and levonorgestrel-containing birth control pills, and 10 to 15 per 10,000 women for birth control pills containing ethinylestradiol and a newer-generation progestin. [76]
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