The adverse effect of combined OCP's among the following is :
High-Yield Explanation
Pills are contraindicated in: -Cardiac disease, hypeension, smoker over 35 years. -Diabetes. -History of thrombosis, myocardial infarct, sickle cell anaemia, severe migraine. -Chronic liver diseases such as cholestatic jaundice of pregnancy, cirrhosis of liver, adenoma, porphyrias. -Breast cancer, gall bladder disease. -Gross obesity. -Patient on enzyme-inducing drugs like rifampicin, and antiepileptic except sodium valproate. -4-6 weeks prior to planned surgery. -Lactating woman. -Monilial vaginitis. Reference : Shaw's textbook of Gynaecology 16th edition page no 275