I've been on the Pill for about a month, and I was wondering if anyone knows if there are any possible interactions or diminished efficacy from smoking while on birth control. I really don't want to ask my doctor or gynecologist because I'm afraid it might affect the level of care I get from them in the future. I'm not being paranoid; I just live in a really small town and people are extremely intolerant of any perceived deviations from normal behavior, however one may define that. I had to fight to get my pills in the first place. The doctors told me about how bad and evil it was to have sex before marriage, according to Christian ethics - never mind that I'm not Christian! I don't want to be punished and labeled as a slutty pothead, but I don't want to hurt myself through ignorance either.