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Question answered:11/12/06 Warning! this question is over two years old.
The Faculty of Family Practice and Reproductive Health Care have recently answered this question [1], they report:
“Gilbert’s disease is an asymptomatic liver disease where raised bilirubin is identified often incidentally. Low dose combined oral contraceptives (COCs) do not appear to have an effect on elevating bilirubin and some studies have in fact demonstrated a reduction in serum bilirubin with COC use. If COC is chosen as the method of contraception, monitoring of serum bilirubin in the first year of its use has been suggested. The CEU could not find any specific evidence concerning progestogen only methods but consider that these would be safe to use in women with Gilbert’s syndrome.”
Reference
1) http://www.ffprhc.org.uk/admin/uploads/No1498.pdf
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