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[Hypertension and hormonal contraceptives]

U Retzke, R Schwarz

    Zeitschrift Fur Die Gesamte Innere Medizin Und Ihre Grenzgebiete
    |November 1, 1980
    PubMed
    Summary

    Hormonal contraceptive use slightly increases arterial blood pressure in women. This oral contraceptive use is linked to a 1.8 to 3 times higher incidence of hypertension compared to non-users.

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    Area of Science:

    • Cardiovascular Health
    • Endocrinology

    Context:

    • Hormonal contraceptives are widely used by women of reproductive age.
    • Understanding the long-term effects of oral contraceptives on cardiovascular health is crucial.

    Purpose:

    • To investigate the impact of hormonal contraceptive use on arterial blood pressure.
    • To assess the incidence of hypertension in oral contraceptive users versus non-users.

    Summary:

    • Long-term hormonal contraceptive use is associated with a slight increase in arterial blood pressure among women.
    • The incidence of hypertension is 1.8 to 3 times higher in users compared to non-users.
    • Estrogen-induced changes in the renin-angiotensin-aldosterone system are the likely cause of elevated blood pressure.

    Impact:

    • Provides guidance on blood pressure monitoring for women initiating hormonal contraceptives.
    • Recommends caution regarding antihypertensive therapy and continuous oral contraceptive use in hypertensive patients.

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