inPractice® - Oral Contraceptives

Several studies—but not all—suggest that the use of hormonal contraceptives does not affect the progression of HIV disease^{[Whiteman 2016; Cejtin 2003; Kilmarx 2000; Richardson 2007; Heffron 2013; Phillips 2013; Jozani 2020]}
WHO recommends that women with HIV use hormonal contraceptives to prevent pregnancy^{[WHO 2014]}
Coadministration of antiretroviral agents may alter the clinical effectiveness of some oral contraceptives and the pharmacokinetics and efficacy of some antiretrovirals (Table 1)^{[Ouellet 1998; Mildvan 2002; Chu 2005; Anderson 2011; El-Ibiary 2008; Crauwels 2014; DHHS Perinatal; Robinson 2012; Tseng 2013; Landolt 2013; FDA EVG/COBI/TDF/FTC; Song 2015]}