 [ Symptoms ] if you are over 40 is it still ok to be taking the pill [ Disease ] as long as you are a non smoker and in good health not significantly hypertensive not a significant diabetic etc  you can take the pill of course you want to be on a low dose pill    most women can do well with a pill that has 30 micrograms of ethinyl estradiol or lower so if your pill says that it has 50 micrograms of estrogen check with your health care provider about switching to a lower dose if possible remember women can get pregnant in their 40 is    i personally have delivered three women who were 47