Objectives: To characterize reasons for hormonal contraceptive (HC) use in 1,455 African-American women, aged 23–35 years. Study design: The community-based cohort members were recruited from the Detroit, Michigan area in 2010–2012. HC history was collected via telephone interview. Results: Seven percent reported HC use exclusively for non-contraceptive purposes, and 49% reported non-contraceptive reasons in addition to contraception. Non-contraceptive reasons were reported for all HC types, but were most common for combined oral contraceptives. Primary reasons were for irregular cycles, heavy bleeding, and pain. Conclusions: In this large cohort of Black women, HC use to treat menstrual problems was common. Implications: HCs were commonly used for both pregnancy prevention and management of menstrual symptoms, but some women used HCs exclusively for menstrual symptom relief. The importance for women of non-contraceptive reasons for HC use may not be adequately recognized, and published data on Black women's reasons for HC use remain limited
