What happens if you take birth control pills with high blood pressure?

Patient's question:

I have high blood pressure. Everyone says that people with high blood pressure cannot take birth control pills, but I did, and it has been 6 days now. My blood pressure hasn't gone down at all—it's still 135/86. About my past treatment and its effectiveness: None. What kind of help do I need now: What should I do now?

Doctor's answer:

It is recommended to take medication cautiously. Please check the evidence. Besides, it is important to consider whether the medication you are taking may cause adverse reactions. This could potentially interact with the progestogen in birth control pills, affecting the metabolism of blood lipids, reducing high-density lipoprotein in the blood, and accelerating atherosclerosis of the coronary arteries. Additionally, the estrogen component may increase the tension of self-healing function, promote thrombosis, and cause coronary artery spasm. Therefore, some experts suggest that women over 40, or those with conditions such as hypertension, hypercholesterolemia, coronary heart disease, or myocardial infarction, should not take birth control pills.

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