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Here is what you need to know about the contraceptive pill and cigarette smoking: why it is dangerous to use both together, the risks for each type of contraceptive pill, the specific risks for women of different ages, what to do to avoid these risks, and what medical supervision is needed for women who both smoke and take the pill The Contraceptive Pill and Smoking: A Dangerous Combination You Need to Understand If you smoke, combining the pill with cigarettes creates a significantly elevated risk to your health