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Oral contraceptive pills are a safe and effective contraceptive method widely used in New Zealand. Progestogen-only contraceptive pills are a suitable alternative for patients with contraindications to oestrogen use, such as those at high risk of venous thromboembolism. Combined oral contraceptives COCs are generally the first-line choice for those who wish to use an oral contraceptive, unless oestrogen use is contraindicated. This is because COCs require less strict adherence to regular dosing times than POPs and provide additional non-contraceptive benefits. COCs prevent ovulation, thicken cervical mucus to inhibit sperm penetration of the upper reproductive tract and alter the endometrial lining to make implantation less likely.
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