March 9, 2026 · Contraception · DOI: 10.1016/j.contraception.2026.111434

Contraindications to combined hormonal oral contraceptives among over the counter users in the United States

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The authors aimed to assess the prevalence of self-reported medical contraindications to hormonal contraception among over-the-counter (OTC) users in the United States. Their survey revealed that only 0.3% of OTC users reported contraindications to progestin-only pills, while 25.1% reported contraindications to combined oral contraceptives, significantly higher than the 15.5% reported by prescription users. This suggests that medical contraindications to progestin-only pills are rare among OTC users.

Maria I Rodriguez, Haley Burns, Alison B Edelman

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