ABSTRACT
In premenopausal women AMI is almost exclusively a disease of smokers. No study, and there have been at least six good ones (including RCGP, Oxford/FPA, US Nurses and WHO), has been able to detect an increased risk of AMI in current or past pill-taking non-smokers. The available evidence is similar for haemorrhagic strokes. Ischaemic strokes are different: there is a small increased odds ratio of 1.5-2 from COC use alone. Hopefully this is
further reducible by careful prescribing in migraine – see below.
