Many studies have investigated the impact of oral contraceptives (birth control pills) on heart attack (and stroke) risk. The newer, “third generation” Pill is a combination of two synthetic hormones, progesterone and low-dose estrogen. Compared to women not taking oral contraceptives, studies show no appreciable increase in risk of heart attack for those on the third-generation Pill. Similar safety has been demonstrated with the newer birth control patch.

Women should be aware of precautions with the Pill, patch and injectable contraceptives. When combined with smoking, the use of “hormonal contraceptives” significantly increases the risk of a heart attack, stroke or other cardiovascular disease – especially in women over 35 years of age. Hormonal contraceptives may not be recommended for those with a prior history of blood clots, cancer, stroke or heart attack (and neither oral nor patch contraception protects against HIV and other sexually transmitted diseases). Women are encouraged to consult with their physicians regarding the benefits and risks of different types of contraception.