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This section of the system summarises the starting routines when starting a preparation of the combined oral contraceptive pill (COC) (combined hormonal contraception (CHC)) in different situations.
General principles:
CHC (Combined hormonal contraception) containing ethinylestradiol (EE) can be started by medically eligible women up to and including Day 5 of a natural menstrual cycle without the need for additional
contraceptive protection
CHC containing EE can be quick started by medically eligible women at any other time (with advice to use additional contraceptive precaution for 7 days) if:
COC containing <= 30 μg EE in combination with levonorgestrel or norethisterone is a reasonable first-line choice of CHC to minimise cardiovascular risk
Patient advice:
Reference:
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