{"id":326810,"date":"2025-02-24T11:41:38","date_gmt":"2025-02-24T17:41:38","guid":{"rendered":"https:\/\/www.liveaction.org\/news\/?p=326810"},"modified":"2025-02-24T07:21:17","modified_gmt":"2025-02-24T13:21:17","slug":"study-hormonal-contraceptives-double-heart-stroke-risk","status":"publish","type":"post","link":"https:\/\/archive.liveaction.org\/news\/study-hormonal-contraceptives-double-heart-stroke-risk\/","title":{"rendered":"New study shows double heart attack and stroke risks among healthy young contraceptive users"},"content":{"rendered":"
<\/div>

A Swedish <\/span>study<\/span><\/a> published on February 12, 2025, in the <\/span>British Medical Journal<\/span> found that <\/span>current hormonal contraceptive use doubled \u2014 and even tripled<\/em> \u2014 heart attack and stroke risk<\/span>. <\/span><\/p>\n

When researchers reviewed 25 years\u2019 worth of medical records (1996-2021) from over 2,000,000 women, they found that the most popular forms of hormonal contraception <\/span>except<\/span><\/i> the progestin-only (Levonorgestrel-IUD or LNG-IUD) raised ischemic stroke risk, and all but the LNG-IUD and the arm patch raised heart attack (myocardial infarction) risk.\u00a0<\/span><\/p>\n

Ischemic (caused by a blood clot or other blockage in the brain) stroke risk was highest in arm patch users, with <\/span>triple<\/span><\/i> the rates compared to women who did not use hormonal contraception. Vaginal ring and oral combined contraceptive (containing both estrogen and progestin) users had more than <\/span>twice<\/span><\/i> the stroke risk of non-users. Progestin-only pill users had lower risk than the other methods, but stroke rates were still significantly higher than in non-users.\u00a0<\/span><\/p>\n

Oral contraceptive users also had twice the heart attack risk compared to women who didn\u2019t use hormonal birth control. Vaginal ring users had triple the heart attack risk. Progestin-only pill users were also at higher risk than non-users.\u00a0<\/span><\/p>\n

Actual risk of experiencing a stroke or heart attack remains low\u2026<\/span><\/h3>\n

Let\u2019s put the concept of double or triple the risk into context. As an example, the researchers noted that for oral contraceptive users, \u201c<\/span>[The increased risks] equate to approximately one extra ischemic stroke for every 4760 women using combined oral contraceptives for one year and one extra myocardial infarction for every 10,000 women per year of use compared with no users.\u201d\u00a0<\/span><\/p>\n

Many wonder, and various commentaries ask in so many words, <\/span>Why get excited about <\/span><\/i>such small increases in risk? <\/span><\/i>A Medscape <\/span>commentary<\/span><\/a> went so far as to explicitly proclaim, \u201c<\/span>Women should not stop using contraception based on the findings.\u201d The headline of a LiveScience<\/span> writeup<\/span><\/a> of the BMJ study read, \u201c<\/span>Hormonal birth control may double risk of stroke, study finds \u2014 but don’t panic.\u201d<\/span>\u00a0<\/b><\/p>\n

\u2026But the sheer number of hormonal contraceptive users translates to thousands of extra strokes and heart attacks each year<\/span><\/h3>\n

The rub is that <\/span>248 million<\/span><\/i> women worldwide use hormonal contraception. Calculating based on oral contraceptive usage <\/span>statistics<\/span><\/a> from the Centers for Disease Control and Prevention (CDC), between 2015 and 2017, over 9 million reproductive-aged American women were on combined contraceptive pills alone. Over 2 million women were using the contraceptive arm patch, vaginal ring, or Depo-Provera arm injection.\u00a0<\/span><\/p>\n

\u201cJust\u201d one extra ischemic stroke for every 4,760 women taking the pill for 12 months would translate to <\/span>1,890<\/span><\/i> contraceptive-caused ischemic strokes that year. And while risk does <\/span>not <\/span><\/i>appear to increase with duration of use (risk doesn\u2019t go up for every additional year you\u2019re on hormonal contraception), the fact remains that many women are exposed to these same risks year after year, because contraceptives are often used for years on end.\u00a0<\/span><\/p>\n

Furthermore, while side effects are bound to occur with any medication, those risks are outweighed or judged acceptable for the greater goal of improving symptoms or curing a disease. <\/span><\/p>\n

But hormonal contraception is often taken for pregnancy prevention by <\/span>healthy<\/span><\/i> young women. When her birth control causes a <\/span>stroke<\/span><\/a> or heart attack or other <\/span>serious complication<\/span><\/a> like a <\/span>blood clot<\/span><\/a>, a\u00a0<\/span>healthy<\/span><\/i><\/a> young woman is <\/span>made ill<\/span><\/i> by her contraceptive.\u00a0<\/span><\/p>\n

READ: \u2018No adverse outcomes\u2019 of hormonal contraception use? Not so fast, says expert panel<\/em><\/a><\/strong><\/p>\n

Is taking hormonal contraceptives <\/span>safer<\/span><\/i> than being pregnant or postpartum?<\/span><\/h3>\n

Hormonal birth control apologists<\/span> routinely point out<\/span><\/a> t<\/span>hat pregnancy and the early postpartum period bring heightened risk of blood clots, equivalent to or slightly higher than risk from hormonal contraceptives. Similarly, in a <\/span>Medscape<\/span><\/a> writeup of the BMJ study, a UK-based medical school professor was quoted as saying, \u201c<\/span>The risk of stroke and heart attack in pregnancy and postnatal period is significantly higher than the risks reported in this study for contraceptives.\u201d <\/span><\/p>\n

Live Action News previously put <\/span>increased blood clot risk<\/span><\/a> during pregnancy and postpartum vs. on hormonal contraceptives in context at length, explaining why it\u2019s an apples to oranges comparison. The same logic holds for comparing stroke and heart attack risk in hormonal contraceptive users to pregnant and postpartum women.\u00a0<\/span><\/p>\n

Yes, <\/span>heart attacks<\/span><\/a> and strokes <\/span>can<\/span><\/i> occur in healthy pregnant and postpartum women, though they <\/span>primarily occur<\/span><\/a> in pregnant or postpartum women who are older, smoke, and\/or have preexisting conditions such as high blood pressure, obesity, high cholesterol, and diabetes.<\/span><\/p>\n

But consider that the average woman, who bears approximately two children, will experience higher clot risk for roughly two years, counting 2x 40 weeks of pregnancy plus 2x six weeks postpartum. By contrast, the average woman takes hormonal contraception off and on for much of her adult life, spanning decades of exposure to blood clot, heart attack, and stroke risk, to name a few. <\/span><\/p>\n

According to a 2021 Guttmacher<\/span> fact sheet<\/span><\/a>, in order to achieve her desired family size, \u201c<\/span>a sexually active woman must use contraceptives for <\/span>roughly three decades<\/span><\/i>\u201d (emphasis added).<\/span>\u00a0<\/span><\/p>\n

Is hormonal birth control indispensable for the treatment of reproductive health issues?<\/span><\/h3>\n

Furthermore, while pregnancy has some surprising <\/span>health benefits<\/span><\/a>, hormonal contraception cannot resolve reproductive health issues; it can only serve as a sort of Band-Aid for them. Unfortunately, this distinction is rarely made in commentaries on studies of the risks of hormonal contraception. <\/span><\/p>\n

Dr Oliver Segal<\/a>, a British cardiologist and electrophysiologist, told <\/span>Women\u2019s Health UK<\/span><\/a>, \u201cThe small increased risk of stroke or heart attack must be weighed against the benefits of\u00a0 hormonal contraception, including pregnancy prevention, menstrual cycle regulation and treatment of conditions such as <\/span>polycystic ovary syndrome (PCOS)<\/a> or <\/span>endometriosis<\/a>.\u201d<\/span>\u00a0<\/span><\/p>\n

Women <\/span>can<\/span><\/i> get help for reproductive issues without risking heart attacks and strokes<\/span><\/h3>\n

Commentaries like the Medscape and Women\u2019s Health UK articles imply that hormonal contraception is a panacea for virtually any women\u2019s health condition, and indeed it\u2019s been framed that way for decades. But <\/span>healthcare providers<\/span><\/a> trained in <\/span>restorative reproductive medicine (RRM)<\/span><\/a> seek to address the root causes of hormonal and other reproductive health disorders.\u00a0<\/span><\/p>\n

Rather than masking symptoms with <\/span>hormonal contraception<\/span><\/a> \u2014 <\/span>which may contribute to, for example, the average 8-12 year delay between <\/span>endometriosis symptom onset and diagnosis<\/span><\/a> \u2014<\/span> they recognize that the menstrual cycle is a<\/span> fifth vital sign<\/span><\/a> of health. <\/span>Cycle charting<\/span><\/a> serves as the <\/span>starting point<\/span><\/a> for a thorough workup that may involve blood draws, ultrasounds, and more to get to the source and resolve underlying issues.<\/span><\/p>\n

Women deserve family planning options and reproductive health solutions that don\u2019t put their health at risk. Hormonal birth control cannot offer them that. It\u2019s no wonder young women are <\/span>increasingly realizing hormonal contraception\u2019s limitations<\/span><\/a> and seeking alternative options.<\/span><\/p>\n

\"\"<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

A Swedish study published on February 12, 2025, in the British Medical Journal found that current hormonal contraceptive use doubled \u2014 and even tripled \u2014 heart attack and stroke risk. When researchers reviewed 25 years\u2019 worth of medical records (1996-2021) from over 2,000,000 women, they found that the most popular forms of hormonal contraception except […]<\/p>\n","protected":false},"author":635,"featured_media":288613,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false},"categories":[15],"tags":[],"yoast_head":"\nNew study shows double heart attack and stroke risks among healthy young contraceptive users<\/title>\n<meta name=\"description\" content=\"When birth control causes a stroke or heart attack or blood clot, a\u00a0healthy young woman is made ill by her contraceptive.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/archive.liveaction.org\/news\/study-hormonal-contraceptives-double-heart-stroke-risk\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" 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