Thanks for your question. I recommend discussing this question further with your doctor
. Hormonal contraception
can be very effective at preventing pregnancy. In fact, it is one of the easiest and most effective methods available for those who want the freedom to reverse the effects of the medication with almost no long term effects. Unfortunately, there are always some risks and adverse reactions to almost any medication. One of these risks is the risk of blood clots. This risk is elevated in some groups, including those who are older (as this group is generally at an increased risk anyway) and especially among those who are older and also smoke. In fact, some oral contraceptives and other hormonal contraceptives carry a warning that they should not be used in these high risk groups. What is not as well defined is the risk to those who have some high risk features, such as a pre-disposition to blood clots, but do not have the classic high risk features such as smoking. In these situations, it can be difficult to know whether the risks of the medication outweigh the benefits (in addition to preventing pregnancy, they can also help some people with things like acne
). It can become a complex and complicated issue. Please discuss it further with your doctor, possibly a vascular medicine doctor.