How Long Can You Safely Use Birth Control Pills?

How long can one take birth control pills?

Hello Dr.
Lu, I would like to ask until what age can I take birth control pills? I have been taking them since 2003.
Is it safe to use them long-term? Recently, I have noticed an increase in my heart rate and blood pressure; could this be related to the birth control pills? Do I need to continue taking them until menopause to avoid pregnancy? Thank you for your help.

Xuan Xuan, 30~39 year old female. Ask Date: 2015/11/30

Dr. Lü Lizheng reply Obstetrics and Gynecology

1.
Oral contraceptives have many benefits; in addition to preventing pregnancy, they can help regulate menstrual cycles, reduce menstrual flow, alleviate dysmenorrhea, and decrease the risk of gynecological tumors.
The advantages are numerous.
2.
The main drawback is that they can increase blood clotting, so women with a history of abnormal clotting disorders should not use contraceptives.
Those with heart disease, a history of stroke, or systemic lupus erythematosus should also avoid oral contraceptives.
Oral contraceptives may affect coagulation, increasing the risk of deep vein thrombosis, pulmonary embolism, stroke, and myocardial infarction.
Generally, contraindications for combined oral contraceptives include: patients with existing cardiovascular disease, a family history of thrombotic disorders in women, severe obesity or hypercholesterolemia, and smokers over the age of 35.
It is advisable to consult a physician for evaluation before starting use, as some individuals are not suitable candidates for contraceptive pills, such as those with thrombophlebitis, cerebrovascular disease, coronary artery obstruction, significant liver dysfunction, or breast cancer.
For these patients, the side effects of contraceptives can be significant, and it is recommended not to use them for contraception.
3.
If there are no aforementioned contraindications and the woman is generally healthy, there is no specific age limit for using oral contraceptives.
4.
Elevated blood pressure may not necessarily be related to oral contraceptives; please seek medical evaluation.

Respectfully,
Lu Li-Cheng, Taoyuan Hospital

Reply Date: 2015/11/30

More Info

When it comes to the safe duration for using birth control pills, there are several important factors to consider, including individual health conditions, age, and the specific type of birth control being used. Generally, birth control pills can be used safely for many years, even into a woman's late 40s or early 50s, as long as there are no contraindications. In the United States, many women use oral contraceptives for extended periods, often for over a decade, as they provide effective pregnancy prevention and can help manage menstrual-related issues.

However, it is crucial to have regular check-ups with a healthcare provider to assess any potential risks associated with long-term use. For instance, women who smoke, are over 35 years old, or have a history of cardiovascular disease may face increased risks when using hormonal contraceptives. The concern about elevated blood pressure and heart rate that you mentioned is particularly relevant. Birth control pills can sometimes contribute to these issues, especially in women who have other risk factors. Therefore, if you are experiencing these symptoms, it is advisable to consult with your healthcare provider to evaluate your current health status and discuss whether continuing the pill is appropriate for you.

Regarding the question of whether you need to continue taking birth control pills until menopause to avoid pregnancy, the answer is generally yes, as long as you are still ovulating. Birth control pills work by preventing ovulation, and if you stop taking them before menopause, you may become fertile again and could conceive. Most women reach menopause between the ages of 45 and 55, but this can vary. If you are considering stopping the pill, it is essential to discuss this with your doctor, who can help you understand your fertility status and any alternative contraceptive methods that may be suitable for you.

In summary, while many women can safely use birth control pills for extended periods, it is essential to monitor your health regularly and consult with your healthcare provider, especially if you notice changes in your body, such as increased heart rate or blood pressure. Regular evaluations can help ensure that you are using the most appropriate and safe method of contraception for your individual health needs. If you have concerns about the duration of use or potential side effects, do not hesitate to reach out to your healthcare provider for personalized advice.

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