Non‐contraceptive uses and benefits of combined oral contraception

Abstract

Key content Dysmenorrhoea can be treated successfully with combined oral contraceptives. Combined oral contraceptives have been shown to reduce and regulate menstrual bleeding. Combined oral contraceptives can treat acne in women also desiring contraception. Severe premenstrual syndrome may respond to drospirenone‐containing combined oral contraceptives. Use of combined oral contraceptives decreases the risk of endometrial and ovarian cancer. Learning objectives To explain the role of combined oral contraceptives in reducing the risk of cancer. To identify the uses of combined oral contraceptives in treating gynaecological problems such as dysmenorrhoea, abnormal uterine bleeding, premenstrual syndrome, acne, hirsutism and polycystic ovary syndrome. Ethical issues Compared with preventing pregnancy, the risk/benefit profile of combined oral contraceptives for non‐contraceptive indications may be different and women should be counseled according to their individual circumstance.