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All combined oral contraceptives increase the risk of venous thromboembolism. These authors suggest that when possible, women be prescribed the lowest possible dose of ethinylestradiol that has good compliance, specifically 30 μg ethinylestradiol with levonorgestrel (e.g. Altavera, Seasonale) in order to minimize the risk of venous thromboembolism. Cochrane Database Syst Rev. 2014 Mar 3;3:CD010813    (retrieved Mar, 2014). There are currently 1090 pearls in the database. While every attempt has been made to ensure accuracy, mistakes can and do occur. Use databank at your own risk. All pearls © 2024 by the Internet Medical Association. Click Here to view more medical pearls.