Oral contraceptive pills are contraindicated in: September 2005

Ans. C: Hepatadenoma Contraindications to OCP use History of DVT/PE/stroke/ischemic hea disease Structural hea disease complicated by pulmonary hypeension, atrial fibrillation Diabetes with retinopathy, nephropathy, or other vascular disease, or duration >20 years Breast cancer Liver disease such as benign hepatic adenoma/ liver cancer/active viral hepatitis/cirrhosis Headaches with focal neurologic symptoms Major surgery with prolonged immobilization Over age 35 and heavy smoker Hypeension with BP 160+/100+, or with vascular disease Apa from benefits due to prevention of unwanted pregnancy and the risks during delivery, use of OCP affords ceain other beneficial effects as bonus: Lower probability of developing endometrial, colorectal and ovarian carcinoma. Reduced incidence of developing fibrocystic breast disease and ovarian cysts Reduced menstrual blood loss and associated anemia. Premenstrual tension and dysmenorrhoea are ameliorated Endometriosis and PID are improved