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Non-randomised trial, 1999

Do menstrual cycle and oral contraceptive use affect how the body reacts to smoking?

Yes. Women using oral contraceptives had stronger cardiovascular reactions to smoking than those not using them, and these reactions varied by menstrual cycle phase. This may contribute to increased heart disease risk.

Early or limited evidence 12 oral contraceptive users and 12 nonusers

What they did

A nonrandomized study with 12 women using oral contraceptives and 12 not using them. Each woman was tested during two menstrual phases (early and late cycle). In each session, they sham-smoked and then smoked two cigarettes using a measured smoke delivery system.

What they found

Women using oral contraceptives had larger smoking-induced increases in heart rate compared with nonusers. Cardiovascular changes varied with both menstrual cycle phase and oral contraceptive use. Menstrual phase did not affect smoking withdrawal symptoms, premenstrual symptoms, or mood before smoking.

What it means for you

Oral contraceptive use may increase cardiovascular risk during smoking. The small sample size and nonrandomized design limit how certain we can be about the strength of this effect. The study does not specify the exact differences in cardiovascular response.

12

Oral contraceptive users

12

Nonusers

About the study

Original title
Cardiovascular and mood responses to quantified doses of cigarette smoke in oral contraceptive users and nonusers
Authors
Masson CL, Gilbert DG
Journal
Journal of behavioral medicine
Year
1999
Study design
Non-randomised trial
What was tested
Smoking two cigarettes via quantified smoke delivery system versus sham smoking

Topics