Absolute Contraindications: Patients with liver diseases eg, Dubin-Johnson and Rotor syndromes, benign cholestatic jaundice of pregnancy and those who show any residual liver dysfunction due to previous liver disease.
Cancer of the breast and genitalia or a history thereof.
Thrombophlebitis and/or thromboembolic phenomena or a history thereof.
Relative Contraindications: Physician should use caution in prescribing oral contraceptives to patients with the following conditions: Myomata uteri, cerebrovascular accidents, epilepsy, migraine, cardiovascular and renal disease, diabetes mellitus, ophthalmological problems, other diseases aggravated by pregnancy and during lactation.
If adequate medical follow-up is available and the patient appears in good condition, then pills may be contemplated. If factors mentioned previously cannot be addressed, then it would be judicious to avoid the use of contraceptive pills and to prescribe an alternative method.