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Contraceptive Pearl: E-Cigarettes and Contraceptives

Cigarette smokers who use estrogen-containing contraceptives have a higher risk of cardiovascular disease. Are electronic cigarettes (e-cigarettes) a better choice?

E-cigarettes deliver nicotine. Nicotine’s deleterious effects on the cardiovascular system are well established, but its toxicity is lower when not combined with smoke. There have been no published studies of electronic cigarette use among people taking hormonal contraceptives. We don’t know whether or not e-cigarettes compound the cardiovascular risk of estrogen- containing contraceptives.

For people over age 35 who smoke more than 15 cigarettes per day, estrogen-containing contraceptives are contraindicated. Clinicians should encourage all smokers to quit. Although e-cigarettes may help some smokers to quit, FDA-approved smoking cessation medications (such as nicotine patch, gum, inhalers, etc.) are far safer than smoking, and have an established record in helping people quit cigarettes.



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About Electronic Cigarettes (E-Cigarettes). Centers for Disease Control and Prevention website. Updated 29 Nov 2018.

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The Reproductive Health Access Project does not accept funding from pharmaceutical companies. We do not promote specific brands of medication or contraception. The information in the Contraceptive Pearls is unbiased, based on science alone.

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