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"Strokes and heart attacks are rare for women with diabetes who use hormonal contraception, with the safest options being intrauterine devices (IUDs) and under-the-skin implants, new research published in Diabetes Care shows.
The study, one of the first to evaluate hormonal contraception and health outcomes in women with a chronic condition, should encourage physicians to include implants and IUDs in birth control discussions with diabetic patients.
"Clinicians need to get beyond the idea that birth control just means 'the pill,'" said study senior author Eleanor Bimla Schwarz, professor of internal medicine at UC Davis Health System. "There are options that are safe and effective for all women, including those with diabetes."
Estrogen-containing birth control -- including oral contraceptives, transdermal patches and vaginal rings -- prevent pregnancy by suppressing ovulation. While effective contraceptives, these methods increase women's risks for heart attacks, strokes and blood clots. Physicians have been especially reluctant to prescribe hormonal birth control to women with diabetes, as adults with diabetes are two to four times more likely to die from heart disease than adults who do not have diabetes..."
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