Oral contraceptives and vascular reactivity of great vessels in women

Eur J Contracept Reprod Health Care. 1999 Jun;4(2):61-5. doi: 10.3109/13625189909064006.

Abstract

Blood pressure and great vessel vascular reactivity, evaluated by color Doppler ultrasound, were investigated in users of third-generation oral contraceptives (n = 18) compared to non-users, who were studied either in the follicular (n = 8) or in the luteal (n = 10) phase of the menstrual cycle. Blood pressure measured at rest in the supine position, evaluated both in the follicular phase and in the luteal phase, was similar between oral contraceptive users and non-users. The pulsatility index (an indirect index of resistance to blood flow) of both the internal carotid artery and the axillary artery was similar in control women studied in the follicular phase and in the luteal phase. By contrast, in users of oral contraceptives, pulsatility index values of the internal carotid artery tended to be higher, whilst those of the axillary artery were significantly higher, than those of women in either the follicular phase (p < 0.01) or the luteal phase (p < 0.025). In conclusion, new third-generation oral contraceptives do not have a significant impact on blood pressure control, but still tend to increase vascular resistance to blood flow, particularly in areas more involved in the regulation of blood pressure, for example the axillary artery.

MeSH terms

  • Adult
  • Axillary Artery / diagnostic imaging
  • Axillary Artery / drug effects*
  • Axillary Artery / physiology
  • Blood Flow Velocity / drug effects
  • Blood Pressure / drug effects
  • Carotid Artery, Internal / diagnostic imaging
  • Carotid Artery, Internal / drug effects*
  • Carotid Artery, Internal / physiology
  • Case-Control Studies
  • Contraceptives, Oral, Combined / pharmacology*
  • Cross-Sectional Studies
  • Female
  • Follicular Phase / physiology
  • Humans
  • Luteal Phase / physiology
  • Pulsatile Flow / drug effects
  • Ultrasonography, Doppler, Color
  • Vascular Resistance / drug effects*
  • Vascular Resistance / physiology

Substances

  • Contraceptives, Oral, Combined