Oral contraceptives increase the risk of women suffering from certain types of stroke, new research suggests.
Birth-control pills raise a woman’s likelihood of suffering from an ischemic stroke, which occurs when an artery to the brain is blocked and makes up around 85 percent of cases of the life-threatening condition, a study found.
The researchers, from Loyola University in Chicago, wrote: ‘[Among] women with other stroke risk factors, the risk seems higher and, in most cases, oral contraceptive use should be discouraged’.
Such contraceptives do not raise the risk of hemorrhagic strokes, which are caused by bleeding in the brain, the research adds.
Birth-control pills, patches and jabs are thought to rise the risk of artery blockages by making blood more likely to clot.
The researchers stress, however, the risk is low among women without any risk factors for clotting. These include high-blood pressure and smoking.
Most women have tried at least one hormonal contraceptive in their lives. In the US, nearly 37 percent of women are currently using birth control.
Stroke is the third leading cause of death in women in the US, with 55,000 more females suffering than men every year.
Oral contraceptives increase the risk of women suffering from certain types of stroke (stock)
Women not being screened for stroke risk-factors
Results further suggest women are not being accurately screened for potential stroke risk-factors before being prescribed hormonal contraceptives.
Among women at risk of the medical emergency, only 15 percent recall being advised not to take birth-control pills, while just 36 percent have been told to stop taking the medication.
Some 15 percent of women carry on their birth-control course after being told to discontinue.
The researchers believe this highlights the need for effective doctor-patient communication.
Speaking of how women can reduce their stroke risk, the researchers wrote: ‘The ideal drug is one with the lowest estrogen and progestin doses that will be effective in preventing pregnancy while minimizing adverse effects.’
The findings were published in the journal MedLink Neurology.
Starting periods before the age of 10 raises women’s risk of strokes
This comes after research released last month suggested women who start their period before 10 years old, or enter the menopause younger than 45, have an increased risk of suffering a stroke.
Menstruating before the age of 13 is often caused by obesity, which also puts individuals at a higher risk of cardiovascular events, such as stroke, a study review found.
The menopause is associated with a decline in heart-protective hormones, such as oestrogen, which prevents fats from circulating in the bloodstream and raising women’s stroke risk, the research adds.
Experiencing hot flushes prematurely could mean women lack these protective hormones for longer than the average female, raising their risk of a blood clot in the brain.
Fluctuating hormones during the menopause also increase so-called ‘bad cholesterol’ levels, further boosting such women’s risk, the research adds.
Study author Dr Kathryn Rexrode from the Brigham and Women’s Hospital, said: ‘These women should be monitored carefully and they should be aware that they are at higher risk, and motivated to adhere to the healthiest lifestyle behaviors to decrease the risk of hypertension and subsequent stroke.’