BIRTH CONTROL AND HIGH BLOOD PRESSURE
necessarily. It depends on your general health. Certain formats may be okay if you take precautions. Please consult your doctor. Together we can decide what is best for you.
What is the relationship between blood pressure and contraception?
Birth control methods containing synthetic estrogens can increase blood pressure. these are:
• Combined hormonal contraceptives
• Vaginal ring
• Skin tag
Studies have shown that high doses of oral contraceptives can raise blood pressure, and low dose pills may be less effective.
Vaginal rings and hormonal skin patches may have less of an effect on blood pressure, but more research is needed to know for sure. The risks are now thought to be about the same as with hormonal contraceptives combined.
There is one exception.
The hormone drospirenone. This is a combined contraceptive progestin that can slightly lower blood pressure. Experts believe that this is because drospirenone acts as a diuretic (a drug that makes you pee more often) and can reduce the tendency of estrogen to raise blood pressure.
Most people who take the pill and have elevated blood pressure return to normal within about three months of stopping the pill. Which birth control method does not contain estrogen?
Non-estrogen hormonal contraceptives contain progestins. these are:
• Implant
Intrauterine device (IUD)
Depot medroxyprogesterone acetate (DMPA) injection
• Progestogen-only tablets
What is the best contraceptive for high blood pressure?
It partly depends on your age. If you are 35 years old or younger and your blood pressure is well controlled, the following options are considered safe.
•condom
• Spermicide
• Membrane
• Cervical cap
• Copper spiral
• Levonorgestrel-releasing IUD
• Implant
• Progestogen-only tablets
It's important to remember that non-hormonal barrier methods like the first four are less likely to increase the risk of blood pressure and heart disease, but they also have a higher failure rate. The risk of unintended pregnancy and hypertension must be weighed.
If none of the above methods are satisfactory and your blood pressure is well controlled, you can try estrogen-containing birth control pills with less than 35 mcg of estrogen, or hormone injections. However, blood pressure should be checked 2 to 4 weeks after starting oral contraceptives and stopped if elevated.
If you're over 35 and your blood pressure is well controlled, it's safe to use any of her eight options above. If you don't like any of these, you can try shots with caution, but you should avoid birth control pills that contain estrogen. If your blood pressure is uncontrolled (above 160/100), regardless of age, it is best to stick to non-hormonal options. Hormonal IUDs, implants, and progestin contraceptives should be used with caution.
31 Dec 2022