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Does Co-enzyme Q10 or Ginseng change the effectiveness of birth control pills? Could either result in break-through bleeding mid-cycle?

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Does Co-enzyme Q10 or Ginseng change the effectiveness of birth control pills? Could either result in break-through bleeding mid-cycle?

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Ginseng should not be used in women taking oral contraceptives, as it can cause Oestrogenic effects including mastalgia (soreness of the breasts) and vaginal bleeding. Co-enzyme Q10 is fine to take with the pill, in fact some research recommend its use with oral contraceptives.

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