![]() Risk factors: Females over 35 years old who smoke | Females over 40 years old who don't smoke | Recent surgery with a long period of bed rest | Starting Vienva less than a month after childbirth | High blood pressure | People identified as obese | High cholesterol | Diabetes | Higher dose of estrogen.If you smoke, talk with your provider about safer birth control alternatives. Females age 35 years and older who smoke are at even higher risk for these problems. If you smoke cigarettes, using combined oral contraceptives (COCs), like Vienva, raises your risk for serious health problems, such as strokes, heart attacks, and blood clots. Risk factors: Females over 35 years old who smoke cigarettes.Dark patches of skin on the face or other sun-exposed areasĬigarette smoking and serious heart problems. ![]() Side effects that usually do not require medical attention (report these to your care team if they continue or are bothersome):
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