Combustion cigarettes damage blood vessels and narrow arteries. The hormones in the pill thicken the blood. The two are therefore incompatible. This combination puts women at great risk.
Blood circulation is heavily affected, leading to higher risks of :
- Stroke: 20 times higher than for non-smokers
- Pulmonary embolism
- Heart attack: 87 times higher than 10 cigarettes a day, according to the WHO.
- Thrombosis or Phlebitis: 8.8 times higher
These risks increase with age, the number of cigarettes smoked per day and the number of years of smoking. This combination multiplies the risks by 5 from the age of 30 onwards.
What's more, smoking reduces the body's immune defenses, while the estrogen in the pill encourages the development of the papillomavirus (HPV). This increases the risk of developing cervical cancer.
Finally, smoking has an effect on the hormone ethynyl estradiol (present in the tablet), which reduces the effectiveness of contraception.
Note: nicotine has no decisive impact on cardiovascular risks. The main cause of all its risks is the carbon monoxide released by combustion combined with hormonal contraception.
We strongly advise against smoking while on the pill, and also if you have a hormonal implant. The risks are all the greater if your contraception contains estrogen, particularly 3rd and 4th generation pills. The risks are lower for 1st and 2nd generation pills and IUDs.
According to Tabac Info Service, nicotine has no decisive impact on cardiovascular complications. Also according to Tabac Info Service, it's perfectly conceivable to use an electronic cigarette while on hormonal contraception.
The e-liquid contains no tar and produces no carbon monoxide. To back this up, scientists at the Center for Disease Control and Prevention in the USA studied the impact of the combination of vaping and hormonal contraception. The result was that there was no link between this association and cardiovascular problems. This revelation was supported by Dr. Farsalinos.
However, little research has been carried out to date. What is certain, however, according to Dr. Borgne, is that smoke from combustion cigarettes has harmful effects on the health of women on the pill, and that vaping can considerably reduce these.
It is, however, essential to discuss the matter with your doctor or gynecologist.
Just asking this question might seem strange to most of us, given that it is normally forbidden...
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