Contraception by drugs and hormones

The requirements of a successful hormonal contraceptive are stringent, for it will be used by millions of healthy people who wish to separate sexual relations from physical reproduction. The following represent the ideal.

• It must be extremely safe as well as highly effective

• Its action must be quick in onset and quickly and completely reversible, even after years of continuous use

• It must not affect libido.

The fact that alternative methods are less reliable implies that their use will lead to more unwanted pregnancies with their attendant inconvenience, morbidity and mortality, and this must be taken into account in deciding what risks of hormonal contraception are acceptable.

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