Hormonal contraceptives, including Ortho Evra should be used with caution if you are over 40 years, smoking, have liver, heart, gallbladder, or kidney disease, have high blood pressure, high cholesterol, diabetes, or epilepsy, or tend to seriously overweight. Caution is also advised if you have circulation problems or have had a heart attack or stroke in the past. Be careful, even if you have problems with depression, migraine or other headaches, irregular menstrual periods, or visual disturbances.
There are conflicting reports about whether the hormonal contraceptives increases the risk of breast cancer. It seems that the hormonal contraceptives may slightly increase the chances of breast cancer, especially if before 20 Year of life lived. After hormonal contraceptives are stopped, the risk begins to go down again. If you are using Ortho Evra, you should examine your breasts monthly and yearly breast examinations made by a doctor. Tell your doctor even if you have a family history of breast cancer or if you have had breast nodules, fibrocystic breast disease, or an abnormal mammogram.
You should also be aware that some experts think, hormonal contraceptives may increase the risk for cervical cancer. This remains controversial, however. Many doctors think other factors sind blame.
As the blood of clotting of hormonal contraceptives may be affected, your doctor may take Ortho Evra off before surgery or during a period of prolonged bed rest. You should wait at least 4 weeks after the birth of a child before Ortho Evra, and if you wait for quiet, until the child before the medication is stopped. If you by a second trimester miscarriage or abortion, talk to your doctor recovers before Ortho Evra.
If you develop a severe headache or migraine, which holds not let up or recurring while taking Ortho Evra, check with your doctor are. You may need to switch to another form of birth control.
You should also be aware that hormonal contraceptives have been know to cause rare cases of noncancerous but dangerous liver tumors. In people prone to high cholesterol and similar problems, hormonal contraceptives is known to increase triglyceride levels, leading to pancreatitis.
If you have a menstrual period but was followed by the Ortho Evra regimen correctly, contact your doctor, but do not stop with the patches. If you miss a period and not the therapy have been followed correctly or if you have two consecutive periods, you may be pregnant, stop the patches, and ask your doctor immediatet see if you are pregnant. Use another form of birth control while you are in the patch.
Ortho Evra may be less effective in women weighing more than 198 pounds, and if you fall into this category, ask your doctor which form of birth control is best for you.
Hormonal contraceptives are not against HIV infection (AIDS) or other sexually schützenübertragbaren disease. If there is a risk of infection, use a condom in addition to Ortho Evra.
Make sure you tell the doctor that you are taking ortho Evra before he carried out laboratory tests since certain blood tests may be affected by hormonal contraceptives.
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