Many women continue using birth control into their 30s and 40s — but it’s important to check how it may affect your heart. Some hormonal birth control methods, particularly those with estrogen, can slightly raise the risk of high blood pressure, blood clots, or stroke — especially for women who smoke or have a family history of heart disease. After 35, it’s a good idea to review your contraceptive options with a gynecologist. Progestin-only pills, IUDs, or non-hormonal methods might be better suited for long-term health. Dr. Soma Kumari offers tailored contraceptive counseling, helping women balance safety and lifestyle at every age.