For women with high blood pressure, methods with estrogen--the pill (except for the mini-pill), the ring, and the patch--may [make their blood pressure even higher](https://www.bedsider.org/features/168), increasing the risk of a heart attack or stroke. Fortunately there are lots of highly effective birth control options that are safe and estrogen-free like the IUD, the implant, or the shot. Talk to your doctor about your condition and what birth control is best for you.