CONTRA INDICAÇÕES PARA USO DE ACO

Medical conditions that represent an unacceptable health risk if a combined estrogen-progestin oral contraceptive were initiated include:

 Age ≥35 years and smoking ≥15 cigarettes per day
 Multiple risk factors for arterial cardiovascular disease (such as older age, smoking, diabetes, and hypertension)
 Hypertension (systolic ≥160 mmHg or diastolic ≥100 mmHg)
 Venous thromboembolism
 Known thrombogenic mutations
 Known ischemic heart disease
 History of stroke
 Complicated valvular heart disease (pulmonary hypertension, risk for atrial fibrillation, history of subacute bacterial endocarditis)
 Systemic lupus erythematosus (positive or unknown antiphospholipid antibodies)
 Migraine with aura at any age
 Breast cancer
 Cirrhosis
 Hepatocellular adenoma or malignant hepatoma

REFERÊNCIA: UPTODATE - Overview of the use of estrogen-progestin contraceptives