Table 17-6. Contraindications to use of oral contraceptives

Absolute contraindications

Pregnancy

Thrombophlebitis or thromboembolic disorders (past or present)

Stroke or coronary artery disease (past or present)

Cancer of the breast (known or suspected)

Undiagnosed abnormal vaginal bleeding

Estrogen-dependent cancer (known or suspected)

Benign or malignant tumor of the liver (past or present)


Relative contraindications

Age over 35 years and heavy cigarette smoking (> 15 cigarettes daily)

Migraine or recurrent persistent severe headache

Hypertension

Cardiac or renal disease

Diabetes

Gallbladder disease

Cholestasis during pregnancy

Active hepatitis or infectious mononucleosis

Sickle cell disease (S/S or S/C type)

Surgery, fracture, or severe injury

Lactation

Significant psychologic depression