List common side effects of estrogen.
Venous thromboembolism (VTE): increased rate due to estrogen-mediated coagulopathy [8]
Cardiovascular events
Hypertension: increased risk in patients with a history of HTN during pregnancy and/or family history of HTN
Headaches
Hepatic adenoma development
Mastopathy and mastodynia
Nausea, GERD [9]
List common side effects of progestion.
Breakthrough bleeding
Follicular cysts
Weight gain is not a side effect of hormonal contraceptives
List indications for immediate discontinuation of hormonal contraceptives.
Sensory disorders (e.g., impaired vision)
Detection of masses
Fibroid growth
Breast lump growth
New or enhanced migraine-like headaches (especially with aura)
New or enhanced epilepsy
Jaundice
Pregnancy
Suspected thromboembolism or thrombophlebitis
Studies have shown that women taking estrogen-progestin combination OCPs before menopause have an increased risk of cervical carcinoma but a decreased risk of endometrial and ovarian carcinoma.
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