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  • Title: Minimising risk in contraception.
    Author: Tate P.
    Journal: Practitioner; 1997 Oct; 241(1579):571-4, 576, 580. PubMed ID: 9926590.
    Abstract:
    While both physicians and patients are concerned about the possible risks of using oral contraceptives, the Royal Society's Study Group on Risk has shown that the fear experienced when confronted with various potential causes of personal harm is not influenced just by individual estimates of the likelihood that harm may occur, nor by its severity if it does. Other factors are involved. Moreover, with regard to contraception, the involvement of sexuality affects risk perception and decision making. General practitioners should help their patients realistically evaluate the risks of oral contraceptive use. The likelihood that good results will emerge from a consultation depends upon the application of an individualized, couple-based approach with caution, common sense, and attention to psychological issues. Doctors need to consider and explain both the risks and benefits of using oral contraception. The benefits of combined oral contraceptives (COCs) and progesterone-only contraceptive pills (POCPs), the contraceptive consultation, the doctor's concerns about risk, minimizing COC risks, the relative risk of death as a result of using oral contraception, minimizing POCP risks, and perspectives on the risks of oral contraception are discussed.
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