Safer Birth Control Methods for People with High Blood Pressure & Cholesterol

Medically reviewed by Dr. Aravind Vijayan., MD(Gen Med), Diabetologist and Critical Care Specialist — Updated on May 22, 2023 

Safer Birth Control Methods for People with High Blood Pressure & Cholesterol 
Birth control methods have revolutionized family planning and empowered individuals to make informed decisions about their reproductive health. However, for those with high blood pressure, choosing a suitable birth control method requires careful consideration.

High blood pressure, also known as hypertension, affects millions of people worldwide and can increase the risk of various health complications.


High Blood Pressure Risks with Certain Birth Control Methods

Combination hormonal birth control methods, containing both estrogen and progestin, can raise your blood pressure and contribute to cardiovascular risks.

The birth control injection (Depo-Provera) can elevate your cholesterol levels, further increasing cardiovascular risks.

If your blood pressure and cholesterol levels are normal, and you are in good overall health, a slight increase in blood pressure or cholesterol is unlikely to cause harm.

However, if you already have high blood pressure, high cholesterol, or other cardiovascular disease risk factors, your doctor may advise against using combination hormonal birth control methods or the birth control injection.

This article will explore different birth control methods and assess their safety for individuals with high blood pressure.


Safe Birth Control Methods

Barrier Methods

Barrier methods such as condoms, diaphragms, and cervical caps are generally safe for individuals with high blood pressure. These methods do not contain hormones, making them a suitable choice for those who want to avoid potential interactions with blood pressure medications.

Copper Intrauterine Device (IUD)

The copper IUD, a non-hormonal contraceptive device, is a safe option for individuals with high blood pressure. It provides long-term contraception without affecting blood pressure levels. However, it is essential to consult with a healthcare provider to ensure that the insertion procedure does not pose any risks or complications.

Progestin-Only Pills

Progestin-only pills, commonly known as mini-pills, contain only progestin hormone and are considered a safe choice for individuals with high blood pressure. Unlike combined hormonal contraceptives, which contain both estrogen and progestin, mini-pills have a lower risk of raising blood pressure.

Long-Acting Reversible Contraceptives (LARCs)

LARCs, such as hormonal and non-hormonal IUDs and contraceptive implants, are generally safe for individuals with high blood pressure. Hormonal LARCs release progestin, but the hormone is localized within the reproductive system and does not significantly impact blood pressure. It is advisable to consult a healthcare professional to determine the most appropriate option based on individual health factors.


For individuals who have completed their desired family size, permanent sterilization methods, such as tubal ligation or vasectomy, provide a safe and effective long-term solution. These procedures do not affect blood pressure and can provide peace of mind without the need for ongoing contraceptive methods.


Important Considerations and Consultation

While the above mentioned birth control methods are generally safe for individuals with high blood pressure, it is crucial to consult with a healthcare provider before making a decision. Factors such as age, overall health, medication usage, and individual risk factors should be taken into account. A healthcare professional can provide personalized guidance based on an individual's specific needs and health conditions.


Monitoring Blood Pressure

Regardless of the chosen birth control method, individuals with high blood pressure should continue to monitor their blood pressure regularly. Regular check-ups with healthcare providers are essential to assess the effectiveness of the chosen birth control method and ensure that blood pressure remains within a healthy range.



Individuals with high blood pressure have various birth control options available to them that are considered safe and effective. Barrier methods, copper IUDs, progestin-only pills, LARCs, and sterilization are among the choices that can help individuals prevent unplanned pregnancies without adversely affecting blood pressure levels. Nonetheless, it is vital to seek guidance from healthcare professionals to make informed decisions based on individual health factors. By combining careful consideration and expert advice, individuals can select a birth control method that aligns with their needs while maintaining their overall well-being.


Reference: HealthLine