Contraceptive counselling is both art and science. It is still more challenging in women with per-existing medical disorders. Is woman’s hormonal journey controversial or beneficial ? Oestrogen is contraindicated in many medical disorders. Progesterone-only contraceptives and novel delivery systems may change traditional risk and benefit profiles in women with co-morbidities. Primary care physician should strive for overcoming the barriers for contraception which are prevalent in association with co-morbidities.

Keywords: Contraception; Chronic medical disorders; Oestrogen; Progesterone; Counselling.