Does Birth Control Cause Heart Palpitations? Understanding the Link
Published on November 3, 2024
Key Takeaway
While birth control pills can potentially cause heart palpitations in some women, the risk is generally low and often outweighed by the benefits for most users.
Introduction
Birth control pills are a widely used and effective form of contraception. However, some women may experience side effects, including heart palpitations. This article explores the connection between birth control and heart palpitations, helping you understand the potential risks and what to do if you experience this symptom.
What Are Heart Palpitations?
Heart palpitations are feelings of having a fast-beating, fluttering, or pounding heart. They can be triggered by various factors, including stress, exercise, and certain medications. While often harmless, they can be concerning for those experiencing them.

Can Birth Control Cause Heart Palpitations?
While birth control pills are generally safe for most women, they can potentially cause heart palpitations in some cases. According to a study by Pietrangelo (2014), hormonal birth control methods can affect the cardiovascular system, potentially leading to side effects such as increased blood pressure and, in rare cases, blood clots.
However, it's important to note that the risk of serious cardiovascular events is generally low. A study by Nisenbaum et al. (2014) found that a contraceptive containing 20mcg of ethinyl estradiol and 3mg of drospirenone caused no significant changes in clinical, hemodynamic, and autonomic parameters in normal women.
Factors That May Increase Risk
Certain factors may increase the likelihood of experiencing heart palpitations while on birth control:
- Smoking
- Being over 35 years old
- Having a history of cardiovascular issues
- High blood pressure
- Obesity
Other Causes of Heart Palpitations
It's important to recognize that heart palpitations can be caused by various factors, not just birth control. Pietrangelo (2015) notes that other potential causes include:
- Stress and anxiety
- Caffeine consumption
- Dehydration
- Hormonal changes during menstruation, pregnancy, or menopause
- Certain medications
- Thyroid issues

What to Do If You Experience Heart Palpitations
If you're on birth control and experiencing heart palpitations, consider the following steps:
- Keep a symptom diary to track when palpitations occur
- Consult your healthcare provider about your symptoms
- Discuss alternative birth control methods if necessary
- Get a thorough cardiovascular check-up to rule out other causes
Alternative Birth Control Options
If you're concerned about heart palpitations, there are alternative birth control methods to consider. Heinemann et al. (1999) found that progestogen-only pills showed no significant increase in cardiovascular disease risk. Other options include:
- Intrauterine devices (IUDs)
- Barrier methods (condoms, diaphragms)
- Sterilization (for those not wanting future pregnancies)
Conclusion
While birth control can potentially cause heart palpitations in some women, the risk is generally low for most users. It's essential to discuss any concerns with your healthcare provider, who can help you weigh the benefits and risks based on your individual health profile. Remember, the right contraceptive method is one that is both effective and comfortable for you to use.