Recommendations and contraindications for hormonal birth control

The following table lists the recommendations and contraindications for hormonal methods of birth control.

What to consider when using hormonal methods of birth control

Consideration	Combination pills, skin patch, or vaginal ring (estrogen plus progestin)	Progestin-only pills, implant, or shot
Recommended for women who:	Are healthy Are breast-feeding (6 weeks after delivery) Smoke (if younger than 35) without other health risks Have diabetes (if younger than 35) without complications Have controlled high blood pressure and do not smoke Have controlled cholesterol levels Have had an abortion	Cannot take estrogen. Health risks related to estrogen use are not present with progestin-only pills. Are breast-feeding Have migraines with aura Have high blood pressure or coronary artery disease Smoke and are older than 35 Have sickle cell disease
Not recommended for women who:	Smoke and are older than 35 Have diabetes and are older than 35 Have a risk for blood clots, including a family history of clots or a past clot in the lung (pulmonary embolism) or leg (thrombophlebitis) Have had a stroke Have coronary artery disease or heart failure Have (or had) breast cancer Are pregnant or may be pregnant Have (or had) liver cancer, noncancerous tumors of the liver, active hepatitis, or poor liver function Have uncontrolled high blood pressure Have undiagnosed abnormal vaginal bleeding Have migraine headaches with neurological symptoms or migraine aura Have lupus with heart, blood vessel, or kidney symptoms Have sickle cell disease Have high triglyceride levels Are taking certain medicines (check with your health professional)	Are or may be pregnant Have active breast cancer or history in past 5 years Have undiagnosed abnormal vaginal bleeding Have active hepatitis Have active colitis Are taking certain medicines (check with your health professional)

Author:	Bets Davis, MFA	Last Updated: May 22, 2008
Medical Review:	Joy Melnikow, MD, MPH - Family Medicine Kirtly Jones, MD - Obstetrics and Gynecology
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