The combined oral contraceptive pill and the menopause.

The pill does not change the time of the menopause. Each egg appears to behave as if it has a timer which determines when it will go into an active phase (Q 2.3). If the hormone environment is not appropriate, the active phase is cut short and that egg fails to develop. One of the important ways that the combined oral contraceptive pill works is that it creates a hormone environment that prevents further development of the eggs that are going into the active phase. The pill does not stop eggs from going into the early active phase (otherwise the menopause would be delayed in pill users).

Please click on the required question.

Q16. 1 What are the different types of combined oral contraceptive pills?

Q16. 1a What is the new Evra Patch?

Q16. 2 What are the benefits and problems of the phasic pills?

Q16. 3 How will my doctor help me to decide which is likely to be the best pill for me?

Q16. 4 Whilst I am taking the combined oral contraceptive pill, what monitoring should I receive?

Q16. 5 A member of my family has a history of a deep venous thrombosis (DVT) or pulmonary embolism (thromboembolism). Should I have a screening blood test?

Q16. 6 Does an aeroplane journey increase the risks of taking the combined oral contraceptive pill?

Q16. 7 Are there times when the combined oral contraceptive pill should be prescribed only with special caution?

Q16. 8 Are there any contraindications to taking the combined oral contraceptive pill?

Q16. 9 On which day of my menstrual cycle should I start my first course of the combined oral contraceptive pill?

Q16. 10 Can I start the combined oral contraceptive pill whilst I am breast-feeding?

Q16. 11 Can I take the combined oral contraceptive pill if I have had episodes when I did not see my periods (amenorrhoea)

Q16. 12 Can I start the combined oral contraceptive pill if I am not currently seeing my periods?

Q16. 13 Does it matter if I do not see a period whilst taking the combined oral contraceptive pill?

Q16. 14 What is the advice when my changing pill preparation?

Q16. 15 What should be done if breakthrough bleeding occurs whilst I am taking the combined oral contraceptive pill?

Q16. 16 Can my pill withdrawal bleed be planned to avoid weekends?

Q16. 17 Can I take the combined oral contraceptive pill without a seven-day pill-free gap?

Q16. 18 What should be done if a pill is missed?

Q16. 19 Could I conceive whilst I am taking the combined oral contraceptive pill?

Q16. 20 Can combined oral contraceptive pills interact with other medication?

Q16. 21 I am taking the combined oral contraceptive pill. Will this reduce my future fertility?

Q16. 22 I have been on the combined oral contraceptive pill for sometime. Is there any need to take a break from it?

Q16. 23 I am due to have an operation. Should I stop taking my pill?

Q16. 24 What is the advice with regard to third generation combined oral contraceptive pills?

Q16. 25 Until what age can I take the combined oral contraceptive pill?

Q16. 26 I have taken the combined oral contraceptive pill. Will this change the time when I will go through the menopause?

Q16. 27 I am taking the combined oral contraceptive pill. How will I know if I have reached my menopause?

Q16. 28 In what circumstances should the combined oral contraceptive pill be stopped immediately?

Q16. 29 What symptoms are commonly associated with taking the oral contraceptive pill?

Q16. 30 Should the combined oral contraceptive pill be discontinued if I develop headaches?

Q16. 31 If I have varicose veins can I take the combined oral contraceptive pill?

Q16. 32 I have developed vomiting and diarrhoea. How does this affect my pill taking?

Q16. 33 How long before starting a pregnancy should I stop taking the combined oral contraceptive pill?

Q16. 34 Family Planning Support Groups.

Q16. 35 Support Groups.

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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.

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