Abstract
Objective: Review and analyze the relationship of hormonal contraception as a cardiovascular risk factor. Bibliographic review: In an attempt to reduce the side effects of the use of hormonal contraceptives, new formulations were created with changes in the dose of estrogen and formulations based on progesterone. The use of combined contraceptives increases the risk of both venous and arterial thrombosis. There is evidence of blood pressure changes associated with the use of combined oral contraceptives (ACOs). There is a close relationship between the intake of contraceptive pills and changes in body lipid levels, which, indirectly, potentiates cardiovascular risk. The use of oral contraceptives is related to arterial thrombosis, which, in turn, can lead to acute myocardial infarction (AMI). The overall risk of arterial thrombosis is 1.6x greater in women who use oral contraceptives. Final considerations: The use of exogenous estrogen contained in OCs, especially in high doses, is a major factor in the development of cardiovascular disease. It is crucial to raise awareness about potentially dangerous self-medication in the use of hormonal contraceptives and for health professionals to prescribe this contraceptive method individually, in order to avoid unfavorable outcomes.