What are the contraindications to the progestin only pill (POP)?
There are no absolute contraindications to progestin-only pills other than known or suspected pregnancy and the presence of undiagnosed vaginal bleeding. If pregnancy would be devastating to a woman with underlying medical or obstetrical problems the POP may not be as good a choice, because of the diligence required to achieve reliable prevention. If the woman has had a serious side effect with the combined oral contraceptive pill that is not conclusively linked to estrogen such as liver adenomas or steroid associated cholestatic jaundice the POP may be contraindicated. Past severe arterial disease, acute porphyria, recent trophoblastic disease (until hCG is undetectable) and rare hypersensitivities to the constituents of the POP are also considered contraindications to POP use.
