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Hypertension is a major risk factor for cardiovascular disease and contributes significantly to global morbidity and mortality. In Indonesia, the prevalence of hypertension in Women of Reproductive Age (WUS) reaches around 28.2%, while the use of hormonal contraception—especially injections, pills, and implants—is still a popular choice among couples of reproductive age. Several studies have shown a relationship between the use of exogenous hormones and increased blood pressure, but specific data at the local service facility level are still limited. This study aims to determine the relationship between the use of hormonal contraception and the incidence of hypertension in WUS at BPM Fitria Ningsih Siadari, Karawang Regency, West Java. This study used a cross-sectional analytic design. A sample of 102 WUS (15–49 years) who actively visit BPM Fitria Ningsih Siadari will be taken using purposive sampling. The independent variables include the type of hormonal contraception and duration of use; the dependent variable is hypertension status (blood pressure ≥ 140/90 mm Hg). Demographic data and confounding factors (age, BMI, family history of hypertension, salt intake, physical activity) were collected through questionnaires and standard blood pressure measurements. Bivariate (Chi square) and multivariate (logistic regression) analyses were used to evaluate the association, with a significance level of p <0.05. The results obtained The use of hormonal contraception in BPM Fitria Ningsih Siadari, Karawang Regency, West Java in 2023, the majority used injectable contraception, as many as 58 respondents (56.9%). Blood pressure in BPM Fitria Ningsih Siadari, Karawang Regency, West Java in 2023 was mostly grade 1 hypertension, as many as 46 respondents (45%). There was a relationship between the use of hormonal contraception and the incidence of hypertension in women of childbearing age (WUS) in BPM Fitria Ningsih Siadari, Karawang Regency, West Java in 2023 with a p value = 0.000

Uterine myoma is one of the most common tumors found in premenopause. Symptoms that can arise vary, ranging from asymptomatic to symptoms that interfere with daily activities. The most common symptoms arise, namely pain and vaginal bleeding. Women who have, myoma diagnosed certainly emits risk factors. Risk factors that can aggravate, among them are heredity, obesity, hormonal contraception, nullipara, hypertension, primipara age <20 years, deficiency of vitamins D Risk Factors Risk of land can be able to be able That, as for effective modalities is used for supporting examinations of uterine uterine and MRI uterine myomas. Ultrasound can be done as an initial screening, while MRI is better used for a more appropriate location when compared to ultrasound.

Hypertension or high blood pressure is a non-communicable disease that is one of the main causes of premature death worldwide. Generally, hypertension is found in people with old age, but in its development, hypertension also affects people of reproductive age, such as women of childbearing age. This study aimed to analyze the risk factors for hypertension in WUS in the working area of ​​the Naibonat Health Center. The type of research used is quantitative, with a case-control study approach. The case population in this study was 511 WUS, then 55 case samples were taken using a simple random sampling technique, and 55 control samples were taken from the respondent's closest neighbors. The data obtained were analyzed using the chi-square statistical test. The dependent variable in this study was hypertension, while the independent variables were age, family history, use of hormonal contraception, obesity, and stress. The results showed that three variables had a relationship with hypertension in women of childbearing age, namely age (p=0.000, OR=7.111), family history (p=0.002, OR=3.710), and physical activity (p=0.000, OR=4.495). in comparison, the use of hormonal contraception, obesity and stress did not have a relationship with the incidence of hypertension in women of childbearing age. The Puskesmas is expected to increase efforts to prevent hypertension by optimally improving services, especially in increasing public knowledge about hypertension so that people can maintain normal blood pressure and can avoid risk factors that can cause hypertension.

Background: The prevalence of hypertension in Indonesia continues to increase, especially in women. The incidence rate reached 28.8% higher than the incidence of hypertension in men which is 22.8%. There are factors that make women more at risk of hypertension than men. Namely the use of hormonal contraception in women whose users reach 47.54%. Purpose: to analysis Correlational hormonal contraceptive use and hypertension. Methods: This research is an observational survey research, case-control design. Held in the Work Area of the Medan City Primary Health Center. Conducted from March-June 2019. The population were all women of productive age (15-49 years) totaling 572 people. The size of the case sample was 35 people and 35 controls. Case samples were taken by means of consecutive sampling, control samples were taken by convenient sampling. Data analysis was performed univariately and bivariately using the Chi Square statistical test (?2) with a significance level of 0.05. Results: In the hypertension group, 77.1% used hormonal contraception and 22.9% did not use hormonal contraception. Whereas in the non hypertensive group 62.9% did not use hormonal contraception only 37.1% used hormonal contraception. There is a relationship between hormonal contraceptive use and hypertension in women of reproductive age. A value (OR = 5.7; 95% CI 2,008-16,244) means that women of reproductive age are at risk of experiencing hypertension 5.7 times greater if women of reproductive age use hormonal contraception than those who do not use hormonal contraception. Conclusion: Women of reproductive age are at risk of developing hypertension when using hormonal contraception. Therefore, it is recommended that women of reproductive age prefer non-hormonal contraception or natural contraception. If using hormonal contraception to keep monitoring blood pressure regularly at least 3 months after using hormonal contraception and immediately stop using hormonal contraception if there is a hypertensionKeyword: Hormonal contraception; Hypertension; Women at Reproductive age