Should I not consider the pill as a contraceptive means? I have a problem in that other methods don’t suit me.

Many years ago (and more recently) we have looked at the pill in our lupus patients and have found that in general there are no major problems, especially with the mini pill. A small group of patients with antiphospholipid antibody (or anticardiolipin antibody) have more of a clotting tendency and obviously these patients present a totally different problem. In these patients oestrogen containing pills should be avoided.