Oral contraception can cause metabolic and hemodynamic modifications which may prove very dangerous in terms of cardiovascular complications. Patients with histories of hypertension, obesity cardiopathies, or who smoke heavily should not be on hormonal contraception. On the other hand, pregnancy can be a much higher risk for this particular type of patient; indeed cardiovascular affections are one of the main indications of therapeutic abortion. Fortunately OC (oral contraception) has been greatly improved during the past years with the prescription of mini pills, containing less than 50 mcg of estrogens, and of micropills, containing low-dose progestin only. Such type of hormonal contraception can in most cases be prescribed also to patients at risk of cardiovascular accidents. Failing this, and judging every case on an individual basis, the IUD, intravaginal contraception, or even sterilization can be considered.