Birth Control and Heart Palpitations: What You Need to Know
Published on September 11, 2024
Key Takeaway
While birth control can affect cardiovascular health in some women, heart palpitations are not a common side effect and may indicate an underlying condition requiring medical attention.
Introduction
Birth control is a crucial aspect of reproductive health for many women. However, concerns about potential side effects, including cardiovascular issues like heart palpitations, often arise. This article explores the relationship between birth control and heart palpitations, providing evidence-based information to help you make informed decisions about your contraceptive choices.
Understanding Heart Palpitations
Heart palpitations are described as a feeling of your heart racing, pounding, or fluttering. While often harmless, they can be concerning and may sometimes indicate an underlying issue. It's important to note that palpitations can have various causes, and birth control is not typically a primary culprit.

Birth Control and Cardiovascular Health
Hormonal birth control methods, particularly those containing estrogen, can affect cardiovascular health in some women. Research has shown that oral contraceptives (OCs) can have varying effects on heart rate and blood pressure:
- Some studies indicate that OCs may slightly increase blood pressure in some women.
- Certain types of OCs have been associated with changes in heart rate variability.
- The risk of cardiovascular events is generally low in healthy, young non-smoking women using modern low-dose OCs.
Heart Palpitations and Hormonal Contraceptives
While heart palpitations are not typically listed as a common side effect of birth control, some women report experiencing them. It's important to understand that:
- Palpitations can occur due to various factors, including stress, caffeine, or underlying health conditions.
- Hormonal fluctuations during the menstrual cycle can influence heart rhythm, which may be mistaken for birth control-related effects.
- A study published in 2014 found no significant changes in heart rate variability or blood pressure in women using a combined oral contraceptive containing ethinyl estradiol and drospirenone.
When to Seek Medical Advice
If you experience persistent or concerning heart palpitations while on birth control, it's essential to consult your healthcare provider. They may recommend:
- A thorough cardiovascular evaluation
- Switching to a different type of contraceptive
- Additional tests to rule out other potential causes

Alternatives and Considerations
For women with cardiovascular risk factors or concerns about hormonal methods, there are several non-hormonal contraceptive options available. According to Healthline, these may include:
- Copper intrauterine devices (IUDs)
- Barrier methods such as condoms or diaphragms
- Fertility awareness methods
Conclusion
While birth control can affect cardiovascular health in some women, heart palpitations are not a common side effect of modern contraceptives. Most healthy women can safely use hormonal birth control without significant cardiovascular risks. However, it's crucial to discuss any concerns or unusual symptoms with your healthcare provider to ensure you're using the most appropriate and safe contraceptive method for your individual needs.