I hesitate to get involved, but wouldn't a productive way of handling the situation be to council the patient against the dangers of the pill and encourage them to get off? I see both sides of the argument. Other, less harmful methods of contraception are available, why not encourage the client to explore these options instead? Reading this post though, I keep thinking that the pill must cloud the symptom picture, making treatment less likely to succeed? Is this not a dis-service to the patient and homeopathy? I know it may not be as extreme but is it not simuliar to the heart failure patient who refuses to stop smoking? (especially if the problems arise from hormonal or cyclical issues). At the same, out-right refusal to treat a patient taking the pill; is this not a missed oportunity to council against it. Just a thought...