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How effective are combined oral contraceptives (COCs)?

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How effective are combined oral contraceptives (COCs)?

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Effectiveness often depends on how closely people follow instructions. Thus, the difference in effectiveness between typical use (which is often inconsistent) and perfect use (following the instructions exactly) may vary greatly. For example, with perfect use oral contraceptives are very effective. COCs are 99% effective at preventing pregnancy when taken as directed.

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