Ultra-low dose oral contraceptives are more likely to be implicated in causing vulvar tissue issues compared to higher dose pills.

“higher dose or oral uh contraceptives have been um more likely um low I'm sorry the very low dose have been more likely implicated and people do better if they have like more robust high dose like sort of more standard 35 microgram pills as opposed to these ultra low like the 20 microgram like is low low Estrin considered low yes yes that's an example so the ultra low ones tend to be the biggest culprits”