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Who is at risk for stroke on the combined oral contraceptive pill (OCP)?

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Who is at risk for stroke on the combined oral contraceptive pill (OCP)?

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Women who have risk factors for stroke should probably not use combined OCPs for contraceptive purposes. Risk factors include severe or uncontrolled hypertension, atypical migraines with neurological symptoms, and smoking in women greater than age 35. A low dose combined OCP appears to be a safe choice for smokers under age 35.

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