Can people with systemic lupus erythematosus use hormonal contraceptives?

Yes,^[1] but it is important to work closely with a medical provider when considering hormonal contraceptives, as the estrogen exposure from birth control pills can be too risky for certain people with SLE — specifically those with antiphospholipid antibodies and/or high SLE disease activity. In such cases, alternative methods of contraception, like long-acting reversible contraceptives (e.g., intrauterine devices), may be a safer option.^[2]