Up to 70% of women who are anticoagulated will experience episodes of heavy menstrual bleeding. Traditionally, progestin only hormonal agents have been used in these cases. Can combination birth control pills be used in the anticoagulated patient? Is there data regarding their safety? In this episode, we will walk down the data timeline starting in 2009 and ending in 2021 regarding the use of combination birth control for menstrual/ovulation suppression in women who are anticoagulated. (For Elise 😊)