Filling in the gaps in our understanding of hormonal contraception

One of my clearest professional memories is an encounter with a young female patient who had experienced a pulmonary embolism despite not having any known thrombogenic risk factors except for her use of combined hormonal contraception. As a woman of reproductive age myself, with a need of contraception, her story stuck with me.Since its introduction in the 1960s, hormonal contraception has revolutionised the world by giving generations of women the power to plan the size of their family and determine if and when they want to have children. This has improved women’s access to education and work. Access to hormonal contraception has become a women’s right, and today, around half a billion women use hormonal contraceptives on a daily basis.1The positive historical, cultural, financial, and societal impact of hormonal contraception is undeniable, but has the concept of hormonal contraception use, as a primarily non-medical, voluntary choice, a social necessity, and…
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