Abstract

The available data on the use of oral contraceptive agents in patients with sickle cell diseases is reviewed. The attitude which considers sickle cell anemia to be a contra-indication to OC's cannot be supported on the basis of available evidence. On the contrary, there are a number of reports where favorable effects of steroids on 'sickling' have been described. It is concluded that modern low-dose combined OC's are the method of choice for contraception in all patients carrying the HbS gene.

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