Absolute contra-indications for oral contraception are :

• venous thrombosis, arterial thrombo-embolic diseases, pregnancy, less than three weeks post-partum, hypertension with systolic blood pressure of 160 mm Hg or higher or diastolic blood pressure of 100 mm Hg or higher (level 1);
• migraine with aura and over the age of 35 migraine without aura, hormone-dependent tumours such as mammary carcinoma and oestrogen-sensitive carcinoma (level 2);
• severe liver diseases, less than 6 weeks post-partum if breastfeeding, major surgery with prolonged immobilisation (level 3);
• taking of blood pressure is an essential part of the contraceptive pill consultation (level 1).

In the case of women below the age of 35, preferably prescribe a combination pill with = ‹ 35 µg ethinyl oestrodiol and a second-generation progestogen (level 1).

In the case of women aged 35 and over who do not smoke, continue giving a combination pill with = ‹ 35 µg ethinyl oestrodiol (level 1).

In the case of women over the age of 35 who smoke less than 15 cigarettes a day without additional health risk, a combination pill can continue to be given in consultation with the woman (level 2). If they smoke more than 15 cigarettes a day or in the case of women with an additional health risk, an alternative method of contraception must be offered (level 1).

If an emergency pill is prescribed, preference is for the Levonogestrel method, two doses of 0.75 mg levonogestrel at an interval of 12 hours (level 2).