Contraception and cardiovascular disease

Eur Heart J. 2015 Jul 14;36(27):1728-34, 1734a-1734b. doi: 10.1093/eurheartj/ehv141. Epub 2015 Apr 29.


Contraceptive counselling should begin early in females with heart disease, preferably directly after the start of menstruation. In coming to a decision about the method of contraception, the following issues should be considered: (i) the risk of pregnancy for the mother and the consequences of an unplanned pregnancy; (ii) the risks of the contraceptive method; (iii) failure rates; (iv) the non-contraceptive benefits; (v) the availability; (vi) the individual's preferences; (vii) protection against infection; and (viii) costs. In some women with heart disease, the issues may be complex and require the input of both a cardiologist and an obstetrician (or other feto-maternal expert) to identify the optimal approach. No studies have been performed in women with heart disease to investigate the relative risks and benefits of different contraceptive methods.

Keywords: Cardiovascular; Contraception; Heart disease; Pregnancy.

Publication types

  • Review

MeSH terms

  • Anticoagulants
  • Coitus
  • Contraception / adverse effects
  • Contraception / methods*
  • Contraception, Postcoital
  • Contraceptive Agents, Female
  • Contraindications
  • Counseling
  • Estrogens
  • Female
  • Heart Diseases / prevention & control*
  • Humans
  • Intrauterine Devices
  • Patient Education as Topic
  • Pregnancy
  • Pregnancy Complications, Cardiovascular / prevention & control*
  • Pregnancy, Unplanned
  • Progesterone
  • Sterilization, Reproductive


  • Anticoagulants
  • Contraceptive Agents, Female
  • Estrogens
  • Progesterone