When it comes to health and contraception, it’s crucial to understand the medications that your partner may be taking. One area that often goes overlooked is birth control, particularly combined oral contraceptives (COCs). Many people aren’t fully aware of the potential risks or the reasons why some individuals may need to avoid using them. This article explores the conditions that make combined contraceptives unsuitable for some people and how this knowledge can positively impact relationships.

What Are Combined Oral Contraceptives?

Combined oral contraceptives, commonly referred to as “the pill,” contain two hormones: estrogen and progestin. These pills are widely used as a form of birth control because they are effective in preventing pregnancy. In addition to contraception, COCs offer several health benefits. They can regulate menstrual cycles, reduce menstrual pain, and treat conditions such as endometriosis. However, while they are beneficial for many, not everyone should take them, as certain medical conditions make them risky.

When Should Combined Oral Contraceptives Be Avoided?

Although combined contraceptives are safe for many women, there are specific health conditions and lifestyle factors that can make their use dangerous. Being informed about these risks is important when considering birth control options.

1. 1. History of Blood Clots: If you have a history of blood clotting disorders, COCs should be avoided. The estrogen in these pills increases the risk of blood clots, which can lead to severe complications like deep vein thrombosis (DVT) or pulmonary embolism. For those with a clotting history, the risks of using COCs outweigh the benefits.

1. Heart-Related Issues: Women with a history of heart disease, stroke, or coronary artery disease should not use COCs. The hormone combination can elevate the risk of cardiovascular events, which can be dangerous for individuals already prone to such conditions.
2. Cancer: If you have or are suspected to have breast cancer, or other hormone-sensitive cancers (such as uterine or cervical cancer), COCs should be avoided. Estrogen can stimulate the growth of these cancers, potentially worsening the situation.
3. Uncontrolled Health Conditions: Those with unmanaged high blood pressure or diabetes should be cautious with COCs. These pills can increase the risk of heart attack or other cardiovascular complications when these underlying health issues are not well-controlled.
4. Migraine with Aura: Individuals who suffer from migraines with aura are at an increased risk of stroke when using COCs. Adding estrogen to the mix can significantly increase this risk, making COCs unsafe for these individuals.
5. Liver Issues: Women with severe liver disease or liver tumors should avoid COCs, as the hormones can worsen liver function.
6. Smoking: If you are over 35 and smoke, using COCs can significantly increase the risk of cardiovascular problems. Smoking combined with estrogen increases the likelihood of heart issues, so alternative contraceptive methods are recommended for heavy smokers.

Progestin-Only Contraceptives: A Safer Alternative

For women with these risk factors, progestin-only contraceptives are a safer option. These pills contain only progestin and eliminate the risks associated with estrogen. Progestin-only pills are an effective alternative for women with high blood pressure, a history of cardiovascular disease, or other contraindications to COCs. They provide the benefits of birth control while minimizing health risks.

The Importance of Partner Awareness

Understanding these risks isn’t just important for the person taking the birth control pills; it’s also vital for their partner. When both partners understand why certain birth control options are chosen—or avoided—it fosters better communication and decision-making in the relationship. For example, if an emergency contraceptive pill is needed, knowing when and how to use it can prevent confusion and help both partners make informed choices.

Being aware of the contraceptive method your partner uses, and understanding the reasons behind it, shows care and responsibility. It also opens the door for deeper conversations about shared health decisions.

Conclusion

Choosing the right birth control method is not only about preventing pregnancy but also about making safe and informed health choices. Combined oral contraceptives work well for many women, but they come with certain risks that should not be ignored. Being aware of these risks can strengthen relationships by fostering open communication and mutual understanding.

If your partner uses birth control pills, take the time to learn about the type they’re using and any health conditions that might affect its safety. A supportive partner is one who is informed and engaged in these important health decisions, ensuring that both people in the relationship are making the best choices for their well-being.