Does an aeroplane journey increase the risks of taking the combined oral contraceptive pill?

Modern commercial aeroplanes are pressurised. The increased risks of venous and arterial thrombosis associated with high altitude are therefore eliminated. There have been reports of circulatory complications after a flight but this is equally true for those not taking the combined oral contraceptive pill. Underlying dehydration, following sunbathing, alcohol or a gastro-intestinal upset increases the risk. Many airline stewardesses take the combined oral contraceptive pill. They know the importance of ensuring adequate fluid intake and they will take a little walk every hour or so to keep their circulation going. It has been suggested that Aspirin 75mg daily should be considered before the flight and for a few days afterwards.

There is one concern about flights for women taking the combined oral contraceptive pill particularly if they are travelling West as they may inadvertently take a pill late. It may be prudent to keep one watch set at the time of your home and use this to guide you on when you should be taking your pills.


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This is the personal website of David A Viniker MD FRCOG, Consultant Obstetrician and Gynaecologist at Whipps Cross University Hospital, London - Specialist Interests - Reproductive Medicine including Infertility, PCOS, PMS, Menopause and HRT.

I do hope that you find the answers to your women's health questions in the patient information and medical advice provided.

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