Use of combined hormonal oral contraceptives provides protection against ovarian and endometrial cancers. Yet one of the pills unappreciated benefits is the remarkable protection it can afford against ovarian cancer. Hypertension is rare in this age group, but blood pressure is easy to obtain, nonsensitive and low cost. Noncontraceptive benefits of combined hormonal contraceptives. Nfp is a safe, non hormonal method of either planning or avoiding pregnancy that has been shown in studies to be as effective as hormonal methods. Jul 15, 2014 we all know that hormonal contraceptives prevent pregnancy. Nfp is a safe, nonhormonal method of either planning or avoiding pregnancy that has been shown in studies to be as effective as hormonal methods. In women who are sexually active, there is a decreased relative risk of pelvic inflammatory disease with birth control pill use. The overlooked benefits of oral contraceptive pills. Noncontraceptive benefits of oral contraceptives marc dhont department of obstetrics and gynecology, ghent university hospital, ghent, belgium abstract. Many of women use hormonal contraception for its noncontraceptive benefits, such as making menstruation more predictable and correcting menstrual irregularities caused by oligoovulation or. However, for additional benefit and enhanced convenience, hormonal contraceptives can be used continuously that is, the hormonefree week of pills, patch. Continuous use of hormonal contraceptives provides extra benefit for the conditions above by.
Diagnostic and statistical manual of mental disorders dsm. Women with androgenic conditions, such as acne and hirsutism, benefit from the use of combined hormonal oral contraceptives. Hormonal contraception can provide reliable protection against unintended pregnancy, as well as a broad range of non contraceptive benefits. Contraceptives are physical or medical products that assist with contraception. Noncontraceptive benefits of oral contraceptives marc dhont department of obstetrics and gynecology, ghent university hospital, ghent. Beyond their primary role of preventing pregnancy, hormonal contraceptives provide a number of non contraceptive benefits including a reduction in menstrual pain and bleeding, improvement in acne. Noncontraceptive benefits birth control can have noncontraceptive benefits, regardless of a womans level of sexual activity or pregnancy risk. Pdf noncontraceptive benefits of oral contraceptives. There are a wide variety of contraceptives in the broad method categories of barrier, hormonal, spermicidal. Noncontraceptive benefits of contraception sciencedirect.
For some women, these additional benefits influence method choice and continuation rates. Contraception for women with systemic lupus erythematosus. Pdf there is increasing awareness of the opportunity that many contraceptive interventions may provide for additional health benefits. Noncontraceptive benefits of oral contraceptives oajc. However, since the first combined oral contraceptive coc was introduced in the usa and european markets chang, 1978. Noncontraceptive benefits of contraceptives medical.
Oct 17, 2012 many women, however, are unaware of the non. The progestin iud is an excellent treatment for heavy menstrual bleeding. Noncontraceptive benefits of oral hormonal contraceptives. Beyond their primary role of preventing pregnancy, hormonal contraceptives provide a number of noncontraceptive benefits including a reduction in menstrual pain and bleeding, improvement in acne. This is but one of the noncontraceptive benefits of contraceptives that we will explore. Birth control may be prescribed for teenagers to help clear acne. When used properly and consistently, contraceptives can provide substantial protection against pregnancy.
Noncontraceptive health benefits of intrauterine hormonal. Hormonal and non hormonal contraceptives were initially developed to prevent unplanned and unintended pregnancy. Noncontraceptive benefits and therapeutic uses of the oral. Classifications for combined hormonal contraceptives cdc. Our patients remain convinced that the birth control pill increases cancer risk.
Nov 01, 2010 non contraceptive health benefits of intrauterine hormonal systems non contraceptive health benefits of intrauterine hormonal systems fraser, ian s. For individual women, the effect of a number of hormonal contraceptives on menstruation and its side effects is well recognised. Hormonal contraceptives offer benefits beyond pregnancy. In some populations sle incidence is highest in women of reproductive age, while in others the highest agespecific incidence rates in women are seen after age 40 years. A blood pressure should be obtained in patients who desire estrogencontaining contraceptives to rule out hypertension. Potential noncontraceptive benefits of hormonal contraceptives. Noncontraceptive benefits of hormonal contraception mag online. Both hormonal and nonhormonal iuds are available at cornell health. Dr michelle cooper and dr katie boog give an overview.
However, for additional benefit and enhanced convenience, hormonal contraceptives can be used continuously that is, the hormonefree week of pills, patch, or vaginal ring can be skipped. Many of these women use hormonal contraception for its noncontraceptive benefits, such as making menstruation more predictable and correcting menstrual irregularities caused by oligoovulation or anovulation table 1. Worldwide, the prevention of stis by male and, to a lesser extent, female barrier methods is the most important non contraceptive benefit. Home january 2010 volume 115 issue 1 practice bulletin no. Noncontraceptive benefits of contraceptive methods medicine. I read your article on alternatives to hormonal contraceptives and could not help noting the omission of natural family planning nfp.
The majority of women who use contraception acknowledge the non contraceptive benefits and many women use contraception solely for these benefits. Beyond their primary role of preventing pregnancy, hormonal contraceptives provide a number of non contraceptive benefits including a reduction in menstrual pain and bleeding, improvement in acne and a decrease in the lifetime risk of cancer of the ovaries and endometrium. Combined hormonal contraception chc, especially extendedcycle chc, provides significant. Combined hormonal contraceptives chcs include lowdose containing.
Continuous use of combined oral contraceptives may offer additional benefits by eliminating menstruation and associated dysmenorrhea. The health benefits of the oral contraceptive oc pill are numerous and outweigh the risks of oc use. Noncontraceptive benefits of hormonal and intrauterine. Dec, 2017 i read your article on alternatives to hormonal contraceptives and could not help noting the omission of natural family planning nfp. However, the influence of these drugs on female sexual function is not as clear, although it is mentioned in the technical. Noncontraceptive health benefits are now recognized as an important aspect of the overall impact of all hormonal contraceptives. Please refer to our iud fact sheet for more detailed information. Noncontraceptive uses of hormonal contraception medicine today.
Dr michelle cooper and dr katie boog give an overview of these benefits. In addition to their effectiveness in preventing pregnancy, some contraceptives also have substantial noncontraceptive health benefits. However, a user should be aware of both the possible noncontraceptive benefits shehe may experience and any potential risks to herhis health. These added benefits should be regarded as an advantage and utilized as a strategy to increase uptake and promote continuation of contraceptive methods. This hormone pill can serve as a backup method to reduce the chance of. There are unintended but useful preventive side effects and potential therapeutic uses of ocs apart from contraception itself. The overlooked benefits of oral contraceptive pills, new york. Noncontraceptive benefits of oral hormonal contraceptives ncbi. Potential benefits of combined hormonal contraception in order of. Schindler ae noncontraceptive use of hormonal contraceptives for women with various medical problems. We all know that hormonal contraceptives prevent pregnancy. Non contraceptive benefits of oral contraceptives marc dhont department of obstetrics and gynecology, ghent university hospital, ghent, belgium abstract. The majority of women who use contraception acknowledge the noncontraceptive benefits and many women use contraception solely for these benefits. Noncontraceptive benefits of hormonal contraceptives.
These non contraceptive health benefits can help clinicians who have to deal with religious restrictions on clinical practice. Noncontraceptive benefits of birth control pills are also important to recognize. We searched the medical publications in pubmed, popline, central, embase and lilacs for relevant articles, on non contraceptive benefits of the use of hormonal and intrauterine reversible contraceptive methods, which were published in english between 1980 and july 2014. Beyond their primary role of preventing pregnancy, hormonal contraceptives provide a number of noncontraceptive benefits including a reduction in menstrual pain and bleeding. Modern methods of contraception are associated with health benefits beyond pregnancy prevention. Noncontraceptive benefits of oral contraceptives marc dhont department of obstetrics and gynecology, ghent university. The guttmacher institute is registered as a 501c3 nonprofit organization under the tax identification number 2890727. Oral contraceptives also commonly known as simply the pill contain progestin and may also contain synthetic estrogen. Limited information is available about the safety of the combined hormonal patch and combined vaginal ring among women with specific medical conditions. In addition, oral contraceptives have numerous non contraceptive health benefits including improving regulation of menstruation and reducing the risk of endometrial, ovarian and colon cancers. The mechanisms of the noncontraceptive benefits of cocs can. Noncontraceptive indications for hormonal contraceptive. You are listening to reachmd, at our new home on xm 157. Hormonal birth control products may benefit your patients in many other ways, too.
The quest for new contraceptives, while maintaining efficacy and safety, should search for favourable health benefits. Among the most important noncontraceptive benefits are the reduction of the risk of ovarian, endometrial and colorectal cancer, treatment of menorrhagia, dysmenorrhea, premenstrual syndrome, acne. The efficacy of noncontraceptive uses for hormonal contraceptives. In addition to contraceptive effect there are benefits which form a vital cornerstone of the strategy of woman and doctors choice. Combined hormonal contraceptives are effective in inducing regular menstrual cycles and amenorrhoea. Combined hormonal contraceptives chc, when used correctly, are an effective and safe method for contraception. Schindler ae antiandrogenic progestins for treatment of signs of androgenisation and hormonal contraception. Dysmenorrhea, irregular or excessive bleeding, acne, hirsutism, and endometriosisassociated pain are common targets for oral contraceptive therapy. Combined hormonal contraception chc, especially extendedcycle chc, provides. Treatment of hirsutism and polycystic ovary syndrome. Your doctor or nurse will explain how your chosen method works, how it should be used, and what side effects you might expect. Dec 21, 2012 awareness to non contraceptive benefits of hormonal contraceptives has to be enforced because these hormonal contraceptives besides their undoubtedly high contraceptive efficacy have been shown to be also highly effective in their non contraceptive benefits. Pdf noncontraceptive benefits of combined hormonal. For individual women, the effect of a number of hormonal.
Potential benefits of combined hormonal contraception in order of strength of evidence 50% reduction in risk of ovarian and endometrial cancer. Health benefits associated with use of hormonal contraceptives have not received the same degree of research or publicity as potential adverse effects, and the quality of evidence for such benefits is highly variable. You know birth control pills can help you avoid getting pregnant, but the pill can have. These benefits may influence which method of contraception you choose. Most women in the united states will use hormonal contraception during their reproductive years. Besides the contraceptive effect of the various hormonal contraceptives, it is intended to demonstrate the non contraceptive health benefits for treatment and prevention of bleeding problems, menstruationrelated pain and other disorders, such as premenstrual syndrome and signs of androgenisation. Open access full text article noncontraceptive benefits of. Comprehensive overview of conditions, symptoms, treatment options and side effects related to the noncontraceptive benefits of the pill. Noncontraceptive health benefits of combined oral contraception. Hormonal methods of contraception have other benefits for women with preexisting conditions such as heavy periods. The disease is more prevalent in women, with a female. Comprehensive overview of conditions, symptoms, treatment options and side effects related to the non contraceptive benefits of the pill. Most patients are unaware of these health benefits and therapeutic uses of oral contraceptives, and they tend to overestimate their risk. There are many different types of contraception, but not all types are appropriate for all situations.
Iuds give you great, longterm protection against pregnancy theyre more than 99% effective. Worldwide, the prevention of stis by male and, to a lesser extent, female barrier methods is the most important noncontraceptive benefit. On the other hand, noncontraceptive benefits of hormonal contraceptives, such as as cycle regulation with predictable withdrawal bleeds, decreased menstrual flow, and decreased anemia, have been widely documented. Beyond their primary role of preventing pregnancy, hormonal contraceptives provide a number of noncontraceptive benefits including a reduction in menstrual pain and bleeding, improvement in acne and a decrease in the lifetime risk of cancer of the ovaries and endometrium.
Pdf noncontraceptive benefits of oral hormonal contraceptives. The efficacy of noncontraceptive uses for hormonal. Non contraceptive benefits of oral contraceptives marc dhont department of obstetrics and gynecology, ghent university hospital, ghent, belgium correspondence. Hormonal and nonhormonal contraceptives were initially developed to prevent unplanned and unintended pregnancy. Besides the contraceptive effect of the various hormonal contraceptives, it is intended to demonstrate the noncontraceptive health benefits for treatment and prevention of bleeding problems, menstruationrelated pain and other disorders, such as premenstrual syndrome and signs of androgenisation.
A provider may also prescribe a birth control pill in order to. The most appropriate method of birth control depends on an individuals overall health, age, frequency of sexual activity, number of sexual partners, desire to have children in the future, and family history of certain diseases. Globally, the prevention of sexually transmitted infections by male and to a lesser extent female barrier methods is the most important noncontraceptive benefit. Noncontraceptive benefits of hormonal contraception.
Which contraceptive agents are most suitable for this patient. Oral hormonal contraceptives contraception contraception is defined as actions or a technique that prevent pregnancy by disrupting the normal process of ovulation, fertilization and implantation1. Iuds are one of the best ways to prevent pregnancy, and they last for years. Awareness to noncontraceptive benefits of hormonal contraceptives has to be enforced because these hormonal contraceptives besides their undoubtedly high contraceptive efficacy have been shown to be also highly effective in their noncontraceptive benefits. Acog guidelines on noncontraceptive uses of hormonal. In fact, according to american family physician, the non contraceptive benefits of birth control pills are so important that some patients use the pills exclusively for those reasons. Condoms are one of the most popular nonhormonal methods of contraception, for they. The efficacy of noncontraceptive uses for hormonal contraceptives ian s fraser and gabor t kovacs abstract in addition to providing safe and effective contraception, both the combined oral contraceptive pill cocp and selected longacting progestogenonly contraceptives have significant health benefits. Systemic lupus erythematosus sle is an autoimmune disease of uncertain aetiology that can affect multiple organ systems. Introduction the combined oestrogenprogestogen oral contraceptive pill cocp was first marketed for the treatment of menstrual disturbances, in 1957 in the united states.
A large swedish casecontrol study identified a 70% non contraceptive benefits of contraception anna glasier anna glasier is an honorary professor in the department of obstetrics and gynaecology at the university of edinburgh, and in the department of public health and policy at the university of london school of hygiene and tropical medicine, uk. What are the noncontraceptive benefits of the pill. Several studies have documented that combined oral contraceptives ocs reduce. The levonorgestrelreleasing intrauterine systems lng ius are particularly effective at producing a number of health benefits for women using the lng ius as a contraceptive reduced menstrual bleeding. Open access full text article noncontraceptive benefits. Jared rosenberg edited the report, and kathleen randall supervised production. Aug 01, 2010 many of women use hormonal contraception for its noncontraceptive benefits, such as making menstruation more predictable and correcting menstrual irregularities caused by oligoovulation or. These noncontraceptive health benefits can help clinicians who have to deal with religious restrictions on clinical practice. Noncontraceptive uses of hormonal contraception medicine. Noncontraceptive indications for hormonal contraceptive products. Non contraceptive benefits and risks of contraception non contraceptive benefits and risks of contraception haider, zara. They work as well as sterilization and the birth control implant. Hormonal contraception can provide reliable protection against unintended pregnancy, as well as a broad range of noncontraceptive benefits.
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