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Contraceptives Offer No Protection.(against pelvic inflammatory disease)
2001 APR 26 - (NewsRx Network) -- The results are published in the May 2001 issue of Epidemiology.
"This study addresses the controversy surrounding the protective effect of hormonal and barrier methods of contraception against PID in women," says principal investigator Roberta Ness, MD, MPH, associate professor of epidemiology, medicine, and obstetrics/gynecology. "The risk of upper genital tract infection was not reduced by any contraceptive method among women in this study. In fact, inconsistent condom use actually increased the risk of infection in this group of women."
PID is a common condition in which microorganisms spread from the lower genital tract to infect and inflame the upper genital tract, including the endometrium, fallopian tubes, ovaries, and peritoneum. Women with PID have elevated rates of infertility, ectopic pregnancy, and chronic pelvic pain.
Previous studies testing the ability of various contraceptive methods to protect against PID showed inconsistent results, perhaps due to the inclusion of women both with and without symptoms, and the use of older, higher-dose oral contraceptives in the studies.
The study looked at contraceptive use among 563 women who had signs and symptoms of PID and who were enrolled in the PID Evaluation and Clinical Health (PEACH) Study, a randomized clinical treatment trial. Participants were between the ages of 14 and 37 and were recruited from emergency departments, clinics, and STD ...
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