Taking birth control pills is a safe and effective way to prevent pregnancy. However, some people may experience side effects like headaches, weight gain, and nausea. But is it true that taking birth control pills can increase the risk of stroke?
The connection between birth control pills and stroke
Birth control pills are hormonal contraceptives designed to prevent pregnancy. There are two main types: combination pills and progestin-only pills. These pills work by regulating hormones to stop fertilization and implantation, and by thickening cervical mucus to make it harder for sperm to reach the egg.
It is important to use birth control pills under the supervision of a doctor and to select the appropriate type for your needs. While these pills are generally safe, if you experience any negative side effects, you should consult your doctor about other contraceptive options.
According to Healthline, taking birth control pills can increase the risk of stroke. Estrogen-containing pills are linked to an increased risk of stroke compared to progestin-only contraception.
Research shows that women who use birth control pills are more likely to experience myocardial infarctions and ischemic strokes than those who do not use oral contraception. This risk is especially high in women who use high-estrogen medications or have a history of migraines. The longer you take these pills, the higher the risk of a stroke.
Experts suggest that the stroke risk in birth control pill users is also influenced by other factors, such as:
- Age
- Gender
- Genetics
- Family history of stroke
- Exposure to air pollution
- Other health conditions, such as:
- Anxiety disorders
- Depression
- Diabetes
- Hypertension
- High cholesterol
- Cardiovascular diseases
To reduce the stroke risk, doctors may recommend lower estrogen pills or different contraceptive methods. Today, there are low-estrogen birth control pills that come with a lower stroke risk.
In addition to switching contraceptives, you can further lower your stroke risk through lifestyle changes like:
- Increasing physical activity
- Maintaining a healthy weight
- Eating a balanced diet
- Quitting smoking
- Regular health check-ups, especially if you have high blood pressure or cholesterol
Who should avoid taking birth control pills?
While birth control pills are safe for most women, they are not recommended for those with certain medical conditions. Women who should avoid taking these pills are those who:
- Have a history of blood clots or vascular inflammation
- Have or are at risk of breast or cervical cancer
- Have a history of heart attacks, strokes, or other heart problems
- Have uncontrolled high blood pressure or high blood sugar levels
- Suffer from migraines
Before starting birth control pills, it is essential to consult a doctor to determine the most suitable contraceptive method for your health condition and needs.
If you have questions about pregnancy or contraceptive options, you can make use of the consultation features that are available in the Ai Care application by downloading the Ai Care application from the App Store or Play Store.
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- Sean Edbert Lim, MBBS
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Sissons, B. (2024). Can birth control increase the risk of stroke?. Available from: https://www.medicalnewstoday.com/articles/birth-control-and-stroke#types
Benisek, A., Birth Control Pills. (2024). Available from: https://www.webmd.com/sex/birth-control/birth-control-pills
Watson, S. (2023). Birth Control When You Have Medical Conditions: What's Safe?. Available from: https://www.webmd.com/sex/birth-control/birth-control-medical-conditions
Planned Parenthood. How Safe is the Birth Control Pill?. Available from: https://www.plannedparenthood.org/learn/birth-control/birth-control-pill/how-safe-is-the-birth-control-pill#
American Migraine Foundation. (2023). Does Birth Control Increase Stroke Risk in Women with Migraine?. Available from: https://americanmigrainefoundation.org/resource-library/birth-control-and-stroke-risk/
Johansson, T., Fowler, P., Ek, W. E., Skalkidou, A., Karlsson, T., & Johansson, Å. (2022). Oral contraceptives, hormone replacement therapy, and stroke risk. Stroke, 53(10), 3107–3115. https://doi.org/10.1161/strokeaha.121.038659