Combined Hormonal Contraceptive (Estrogen + Progestin) |
Current breast cancer |
Breastfeeding less than 21 days postpartum |
Severe decompensated cirrhosis |
Acute venous thromboembolism |
High risk of recurrent venous thromboembolism |
Major surgery with prolonged immobilization |
Complicated diabetes |
Migraine headache with aura |
Uncontrolled hypertension |
Current of history of ischemic heart disease |
Known thrombogenic mutations (i.e., Factor V Leiden; prothrombin mutation; and protein S, protein C, and antithrombin deficiencies) |
Multiple risk factors for atherosclerotic cardiovascular disease |
Peripartum cardiomyopathy |
Smokers greater than 35 years old |
History of cerebrovascular accident |
Systemic lupus erythematosus with positive antiphospholipid antibodies |
Complicated valvular heart disease |
Progestin-only |
Current breast cancer |
Severe decompensated cirrhosis |
Systemic lupus erythematosus with positive antiphospholipid antibodies |