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Health Benefits Help protect against: Risks of pregnancy Cancer of the lining of the uterus (endometrial cancer) Cancer of the ovary Symptomatic pelvic inflammatory disease May help protect against: Ovarian cysts Iron-deficiency anemia Reduce: Menstrual cramps Menstrual bleeding problems Ovulation pain Excess hair on face or body Symptoms of polycystic ovarian syndrome (irregular bleeding, acne, excess hair on face or body) Symptoms of endometriosis (pelvic pain, irregular bleeding) Known Health Risks Very rare: Blood clot in deep veins of legs or lungs (deep vein thrombosis or pulmonary embolism) Extremely rare: Stroke Heart attack Safe and Suitable for Nearly All Women Nearly all women can use COCs safely and effectively, including women who: Au nscut sau nu au nscut Have or have not had children Are not married Are of any age, including adolescents and women over 40 years old Have just had an abortion or miscarriage Smoke cigarettesif under 35 years old Have anemia now or had in the past Have varicose veins Are infected with HIV, whether or not on antiretroviral therapy, unless that therapy includes ritonavir Women can begin using COCs: Without a pelvic examination Without any blood tests or other routine laboratory tests Without cervical cancer screening Without a breast examination Even when a woman is not having monthly bleeding at the time, if it is reasonably certain she is not pregnant Combined oral contraceptives: Do not build up in a womans body