Oral contraception and the recognition of endometritis.

Abstract:

OBJECTIVE:Oral contraceptive use has been associated with a lower risk of symptomatic pelvic inflammatory disease but a higher risk of chlamydial cervicitis. To explain these seemingly contradictory findings, we asked whether oral contraceptive use was more common among women with unrecognized endometritis than among women with recognized endometritis. STUDY DESIGN:A multicenter case-control study was performed. Women without signs of pelvic inflammatory disease were ascertained through contact tracing of partners with sexually transmitted diseases or through presentation with cervicitis. Women with symptomatic pelvic inflammatory disease met a set of standard clinical criteria. We compared the 43 cases without signs of pelvic inflammatory disease but with endometritis ("unrecognized endometritis") with the 111 controls with recognized pelvic inflammatory disease and endometritis ("recognized endometritis"). RESULTS:Women with unrecognized endometritis were 4.3 times (95% confidence interval 1.6 to 11.7) more likely than women with recognized endometritis to use oral contraceptives. CONCLUSION:Future studies need to fully characterize the risks and benefits of oral contraceptives in relation to sexually transmitted diseases.

journal_name

Am J Obstet Gynecol

authors

Ness RB,Keder LM,Soper DE,Amortegui AJ,Gluck J,Wiesenfeld H,Sweet RL,Rice PA,Peipert JF,Donegan SP,Kanbour-Shakir A

doi

10.1016/s0002-9378(97)70551-9

subject

Has Abstract

pub_date

1997-03-01 00:00:00

pages

580-5

issue

3

eissn

0002-9378

issn

1097-6868

pii

S0002-9378(97)70551-9

journal_volume

176

pub_type

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