Contraception and Cardiovascular Effects: What Should the Cardiologist Know?

Curr Cardiol Rep. 2023 Nov;25(11):1489-1498. doi: 10.1007/s11886-023-01981-9. Epub 2023 Oct 20.

Abstract

Purpose of review: Cardiovascular disease (CVD) is the leading cause of death in women. This review highlights contraceptive options and their effects on the cardiovascular system (CVS). It provides guidance to cardiologists to make informed decisions regarding the safety of contraceptive use and cardiovascular risk stratification in the care of women of childbearing age.

Recent findings: Approximately 44% of American women live with some type of CVD. Many women use hormonal contraception during their lifetime. It is imperative that cardiologists have a robust understanding of the forms of contraception in current use and their cardiovascular effects. This contemporary review provides a comprehensive summary of available contraceptive methods to practicing cardiologists and aims to be used as a resource to guide cardiovascular specialists on contraception in the context of cardiovascular disease.

Keywords: Adults with congenital heart disease (ACHD); Cardiovascular disease (CVD); Coronary heart disease; Oral contraceptives; Pregnancy.

Publication types

  • Review

MeSH terms

  • Cardiologists*
  • Cardiovascular Diseases* / chemically induced
  • Cardiovascular System*
  • Contraception / adverse effects
  • Contraceptive Agents
  • Female
  • Humans
  • United States

Substances

  • Contraceptive Agents