Age per se does not contraindicates the use of any combined hormonal contraceptives.
Certain potential risks with the use of combined hormonal contraceptives increase with age, predominantly the risk of venous thrombosis and of myocardial infarction.
The incidence of these risks in users of combined hormonal contraceptives aged over 40 does not differ from that observed in younger women.
The use of new combined hormonal contraceptives containing natural estrogens has been associated with an improved safety profile and has non-contraceptive benefits.
Some risks and benefits of combined hormonal contraceptives depend on whether a woman over 40 starts or continues their use, so this issue will be crucial in contraceptive counseling.