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Family Planning: A Global Handbook for Providers

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Family Planning

A GLOBAL HANDBOOK FOR PROVIDERS

Side Effects, Health Benefits, and Health Risks

Side Effects (see Managing Any Problems)

Some users report the following:

  • Changes in bleeding patterns including:
    • Lighter bleeding and fewer days of bleeding
    • Irregular bleeding
    • Infrequent bleeding
    • No monthly bleeding
  • Headaches
  • Dizziness
  • Nausea
  • Breast tenderness
  • Weight change (see Question 6)
  • Mood changes
  • Acne (can improve or worsen, but usually improves)

Other possible physical changes:

  • Blood pressure increases a few points (mm Hg). When increase is due to COCs, blood pressure declines quickly after use of COCs stops.

Known Health Benefits

Known Health Risks

Help protect against:

  • Risks of pregnancy
  • Cancer of the lining of the uterus (endometrial cancer)
  • Cancer of the ovary
  • Symptomatic pelvic inflammatory disease

May help protect against:

  • Ovarian cysts
  • Iron-deficiency anemia

Reduce:

  • Menstrual cramps
  • Menstrual bleeding problems
  • Ovulation pain
  • Excess hair on face or body
  • Symptoms of polycystic ovarian syndrome (irregular bleeding, acne, excess hair on face or body)
  • Symptoms of endometriosis (pelvic pain, irregular bleeding)

Very rare:

  • Blood clot in deep veins of legs or lungs (deep vein thrombosis or pulmonary embolism)

Extremely rare:

  • Stroke
  • Heart attack

See also Facts About Combined Oral Contraceptives and Cancer.