Whilst I am taking the combined oral contraceptive pill, what monitoring should I receive?
Medical opinion varies as to how often patients on the combined oral contraceptive pill should be checked. At your first visit the doctor will need to review your medical history and to undertake a general and pelvic examination. A further review will be undertaken about three months later to ensure that the chosen pill is acceptable. Many family planning clinics have specialist nurses to undertake some of these routine assessments. The blood pressure is checked at each subsequent visit to the clinic, which will probably be at three to six monthly intervals. A persistent blood pressure of 160/100mm Hg or more would be an indication to stop the combined oral contraceptive pill and to consider medication to reduce your blood pressure. Pelvic examination and cervical smears every three years are probably adequate unless you develop symptoms. More frequent monitoring may be indicated for those with risk factors.
Product information for oral contraceptives currently includes the recommendation that all women should have breast and pelvic examination before starting the combined oral contraceptive pill and at regular intervals whilst taking it. The Committee on Safety of Medicines and the Faculty of Family Planning and Reproductive Health Care in the UK now believe that it is unnecessary for all women taking the combined oral contraceptive pill to have routine breast and pelvic examinations either before or whilst taking the combined oral contraceptive pill. Blood pressure should always be measured but other physical examination should only be performed if considered appropriate by the clinician.
Please click on the required question.
- 1 What are the different types of combined oral contraceptive pills?
- 1a What is the new Evra Patch?
- 2 What are the benefits and problems of the phasic pills?
- 3 How will my doctor help me to decide which is likely to be the best pill for me?
- 4 Whilst I am taking the combined oral contraceptive pill, what monitoring should I receive?
- 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?
- 6 Does an aeroplane journey increase the risks of taking the combined oral contraceptive pill?
- 7 Are there times when the combined oral contraceptive pill should be prescribed only with special caution?
- 8 Are there any contraindications to taking the combined oral contraceptive pill?
- 9 On which day of my menstrual cycle should I start my first course of the combined oral contraceptive pill?
- 10 Can I start the combined oral contraceptive pill whilst I am breast-feeding?
- 11 Can I take the combined oral contraceptive pill if I have had episodes when I did not see my periods (amenorrhoea)
- 12 Can I start the combined oral contraceptive pill if I am not currently seeing my periods?
- 13 Does it matter if I do not see a period whilst taking the combined oral contraceptive pill?
- 14 What is the advice when my changing pill preparation?
- 15 What should be done if breakthrough bleeding occurs whilst I am taking the combined oral contraceptive pill?
- 16 Can my pill withdrawal bleed be planned to avoid weekends?
- 17 Can I take the combined oral contraceptive pill without a seven-day pill-free gap?
- 18 What should be done if a pill is missed?
- 19 Could I conceive whilst I am taking the combined oral contraceptive pill?
- 20 Can combined oral contraceptive pills interact with other medication?
- 21 I am taking the combined oral contraceptive pill. Will this reduce my future fertility?
- 22 I have been on the combined oral contraceptive pill for sometime. Is there any need to take a break from it?
- 23 I am due to have an operation. Should I stop taking my pill?
- 24 What is the advice with regard to third generation combined oral contraceptive pills?
- 25 Until what age can I take the combined oral contraceptive pill?
- 26 I have taken the combined oral contraceptive pill. Will this change the time when I will go through the menopause?
- 27 I am taking the combined oral contraceptive pill. How will I know if I have reached my menopause?
- 28 In what circumstances should the combined oral contraceptive pill be stopped immediately?
- 29 What symptoms are commonly associated with taking the oral contraceptive pill?
- 30 Should the combined oral contraceptive pill be discontinued if I develop headaches?
- 31 If I have varicose veins can I take the combined oral contraceptive pill?
- 32 I have developed vomiting and diarrhoea. How does this affect my pill taking?
- 33 How long before starting a pregnancy should I stop taking the combined oral contraceptive pill?
- 34 Family Planning Support Groups.
- 35 Support Groups.
Thank you for choosing to visit us.
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.
