I am a 20 year old female, relatively healthy. I recently had a menstrual episode where I lost far too much blood very quickly, something which has happened to me twice before, the first time (age 13) nearly causing me to bleed out. This time I was given a pack of the Ortho-Novum birth control pills and instructed to take three for two days then two for a few days to stop the bleeding. Today is the fourth day and the bleeding has been completely stopped since halfway through the second day, so I'm off the meds as of this morning, and I have an appointment with a gyno the day after tomorrow to discuss more permanent options. The issue is, I also happen to be a smoker. I have held off the past few days I was on the ortho-novum because I was told not to smoke on it, but I am dying for a cigarette and I think I'm going to break. Do you think that if I haven't been taking this birth control for more than a few days and i am not taking it anymore as of this morning- even though i was taking a large dose of it for those few days- and i were to cut down to five cigarettes a day, I would be okay? I don't want to die from a blood clot because of a couple cigarettes, but I'm seriously suffering here. PLEASE no comments telling me to quit smoking, I KNOW I should, that is OBVIOUSLY the ideal scenario here and while I will definitely consider it for the future it is not a realistic option at this particular moment for a variety of reasons, so that is not going to be helpful advice.