Obesity and contraception: Metabolic changes, risk of thromboembolism, use of emergency contraceptives, and role of bariatric surgery

E. P. Gurney, A. S. Murthy

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Rates of obesity are increasing worldwide. Due to the medical consequences of obesity, routine health care like family planning becomes complicated. Conflicting data exists regarding efficacy of hormonal contraceptives in obese women, while little data on efficacy of emergency contraception in obese women exists. Much of what is available suggests lower serum hormonal levels in obese women with little effect on ovulation inhibition. Contraceptive steroids can cause a number of deteriorating metabolic changes, particularly in obese women; whether these changes are clinically significant is unknown. Venous thromboembolic risk is increased with both obesity and use of hormonal contraceptives; however the question remains if the risk is additive or multiplicative. Bariatric surgery can lead to digestive changes which may affect absorption of contraceptive hormones. While long acting reversible contraceptives may be the best option in the post operative obese patient, little data, beyond a simple recommendation to avoid pregnancy for at least one year, exists to help guide appropriate contraceptive choice.

Original languageEnglish (US)
Pages (from-to)279-288
Number of pages10
JournalMinerva Ginecologica
Volume65
Issue number3
StatePublished - Jun 2013
Externally publishedYes

Keywords

  • Bariatric surgery
  • Contraception
  • Obesity
  • Venous thromboembolism

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Fingerprint

Dive into the research topics of 'Obesity and contraception: Metabolic changes, risk of thromboembolism, use of emergency contraceptives, and role of bariatric surgery'. Together they form a unique fingerprint.

Cite this