#761 ·
Jerry Walker79 said:Look, I don't know the exact science behind how they interact, but generally speaking, doctors tell women over 35 who smoke that they shouldn't be on the pill—or at the very least, they need to cut back on the cigarettes way down to almost nothing.
It basically comes down to the increased risk of blood clots, which can lead to heart attacks or strokes. Plus, smokers often deal with high blood pressure, so that just adds another layer to the danger.
It’s really nothing to mess around with. Honestly, I don't know why some gynecologists don't make a bigger deal out of it; maybe they just assume it's clearly stated in the fine print of the prescription and expect you to actually read it before starting. Every doctor I’ve ever talked to—even an immunologist once—hammered home the warning about smoking while on the pill, even though I don't smoke myself. It’s something they always make sure to note in my medical records.