Nicotine + birth control - the same risks as smoking + birth control?
February 11, 2011 7:59 AM Subscribe
I know you're not supposed to smoke on the pill, but what about nicotine replacement therapy?
posted by mylittlepoppet to Health & Fitness (4 answers total) 1 user marked this as a favorite
So, I just moved, just got a new OB-GYN after years of student healthcare, and he prescribed me hormonal birth control (Nuvaring) and Tramadol to manage the massive menstrual cramps I get from having developed fibroids at a relatively young age.
I've been using nicotine lozenges for some time (I am sadly addicted) and have an immediate family member who once developed a blood clot. I asked the OB-GYN if it was safe to use the Nuvaring despite these factors. His answer really wasn't clear: first he said, "Why don't you quit the lozenges?" I said, "Believe me, I'd like to, I'm cutting back, but I want to know about whether I should start the birth control immediately - before I manage to quit completely - or whether I should wait."
His reply: "I don't think it'll hurt for a couple of months."
But he was so damned casual when he said it that I remain troubled.
So, while nobody here is my doctor, I thought I'd ask the hive mind: does anybody know if the risks that attend hormonal birth control while smoking ALSO apply to using nicotine replacement therapy while smoking? Or is there some other nastiness in cigarettes (apart from nicotine) that makes this such a deadly combination for some women?