Evidence map›Paper›PMID 42029625›Full record

ReviewMedical sciences (Basel, Switzerland)2026

Cardiovascular Safety of Hormonal Contraception: Method-Specific Risks and Clinical Implications.

Iga Waluszewska, Antoni Borowiec, Alicja Paciorek, Letycja Musz, Wioletta Szczurek-Wasilewicz

Abstract readReview
In one paragraph

Review in Medical sciences (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Iga WaluszewskaStudents' Scientific Society, Department of Pharmacology, Faculty of Medicine, University of Opole, 45-052 Opole, Poland.ORCID 0009-0003-8654-1229
Antoni BorowiecStudents' Scientific Society, Department of Pharmacology, Faculty of Medicine, University of Opole, 45-052 Opole, Poland.ORCID 0009-0003-4029-5982
Alicja PaciorekStudents' Scientific Society, Department of Pharmacology, Faculty of Medicine, University of Opole, 45-052 Opole, Poland.ORCID 0009-0007-6985-6308
Letycja MuszStudents' Scientific Society, Department of Pharmacology, Faculty of Medicine, University of Opole, 45-052 Opole, Poland.ORCID 0009-0007-5443-0478
Wioletta Szczurek-WasilewiczDepartment of Pharmacology, Faculty of Medicine, University of Opole, 45-052 Opole, Poland.ORCID 0000-0001-9736-422X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hormonal contraception is used by hundreds of millions of women worldwide and remains one of the most effective reversible methods of pregnancy prevention. Cardiovascular (CV) safety concerns, particularly venous thromboembolism (VTE), ischemic stroke, myocardial infarction, and blood pressure elevation, are important considerations when choosing forms of contraception. Estrogen-containing combined hormonal contraceptives (CHCs) increase the relative risk of VTE; however, among healthy young nonsmokers, absolute event rates remain low. Risk is strongly modified by estrogen dose, progestin type, route of administration, and individual factors such as age, smoking, migraine with aura, hypertension, obesity, inherited thrombophilia, the postpartum period, and concomitant prothrombotic medications. Progestin-only contraceptives and levonorgestrel-releasing intrauterine systems (LNG-IUSs) generally show a more favorable thrombotic profile and are preferred options for women with contraindications for estrogen. This review summarizes current evidence on the method-specific CV risks of hormonal contraception, highlights the mechanisms underlying these effects, and provides practical guidance for clinical decision-making.

Indexed as

Cardiovascular DiseasesHormonal ContraceptionFemaleHumansMyocardial InfarctionRisk FactorsVenous Thromboembolismcardiovascular riskhormonal contraceptionischemic strokemyocardial infarctionprothrombotic risk factorsrisk stratificationthromboembolism

Identifiers

PMID42029625
PMCPMC13108057

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.