WHO statement on hormonal contraception and bone health
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According to ACOG and WHO recommendations, the benefits of DMPA use surpass the risks.
“according to the American College of Obstetricians and Gynecologists (ACOG) [48] and WHO recommendations [72] the benefits of DMPA use surpasses the risks.”
From Oral and depot progestin therapy for endometriosis: towards a personalized medicine (2017) · cites this paper as [72]
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Cleland, J., Conde‐Agudelo, A., Peterson, H. B., Ross, J. A., & TSUI, A. O. (2012) · The Lancet · doi:10.1016/s0140-6736(12)60609-6 · Cited by 827 · see citing works
Risks of contraception and pregnancy in heart disease
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Steroidal contraceptives: effect on bone fractures in women
Lopez, L. M., Grimes, D. A., Schulz, K. F., Curtis, K. M., & Chen, M. (2014) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd006033.pub5 · Cited by 168 · see citing works
Bone density recovery after depot medroxyprogesterone acetate injectable contraception use
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“Because of the profound hypoestrogenism provoked by these drugs, bone mineral density is the principal concern [6] that limits their use to 6 months, although longer treatment with add-back hormone therapy is possible.”
BackgroundSteroidal contraceptives and bone fractures in women: evidence from observational studies
Lopez, L. M., Chen, M., Long, S., Curtis, K. M., & Helmerhorst, F. M. (2015) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd009849.pub3 · Cited by 102 · see citing works
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“the American College of Obstetricians and Gynecologists (ACOG) [48] and WHO recommendations [72], the benefits of DMPA use surpasses the risks.”
BackgroundFisher, W. A., & Black, A. (2007) · Canadian Medical Association Journal · doi:10.1503/cmaj.060851 · Cited by 55 · see citing works
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“GnRH-a are widely used to reduce endometriosis-related pain but are associated with a reduction in bone-mineral density, which limits their use to a period of 6 months.(7) Other side-effects of these agents include hot flushes, insomnia, vaginal dryness and emotional lability.”
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“Medical treatments that are based on the reduction of lesions or on ovarian estrogen suppression, cause profound hypoestrogenism inducing a decrease in bone mineral density and hence treatment is limited 6 months (d’Arcangues 2006), although longer treatment with add-back hormone therapy is possible.”
BackgroundMonteiro-Dantas, C., Espejo‐Arce, X., Lui-Filho, J. F., Fernandes, A. M. D. S., MONTEIRO, I. M. U., & Bahamondes, L. G. (2007) · Reproductive Health · doi:10.1186/1742-4755-4-11 · Cited by 38 · see citing works
“Although a recommendation issued by the World Health Organization (WHO) also established some restrictions to the use of DMPA, principally in adolescents and in women in the menopausal transition [ 11 ], it has also established that the data on levonorgestrel (LNG)-releasing implants suggest no adverse effect on BMD a…”
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“The clinical implications of this finding are still not clear since the declines in BMD associated with lactation do not appear to have long-term skeletal health consequences; however, it does influence family planning and should strengthen data on safety of DMPA use, preventing unwanted pregnancies [10].”
BackgroundThe Cochrane Fertility Regulation Group: synthesizing the best evidence about family planning
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“use of DMPA by women in menopausal transition or in adolescence [7].”
BackgroundMethodInfluentialDepot Medroxyprogesterone Acetate Use and Blood Lead Levels in a Cohort of Young Women
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“These data would have provided insight into whether the release of lead from bone into blood mirrors the pattern of bone loss observed with DMPA use, with loss being greatest in the first 2 y after DMPA initiation and then continuing at a slower rate with longer use (d’Arcangues 2006).”
BackgroundBone mineral density in users of two kinds of once-a-month combined injectable contraceptives
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Гормональная контрацепция и костная ткань
Grigoryeva, N. V. (2022) · PAIN JOINTS SPINE · doi:10.22141/2224-1507.1.9.2013.81980
- Authors
- d'Arcangues, C.
- Venue
- Contraception
- Publisher
- Elsevier BV
- Published
- 2006-05
- Volume
- 73
- Issue
- 5
- Pages
- 443-444
- ISSN
- 0010-7824 (ISSN-L)
- OpenAlex
- W2134703699
- Cited by
- 109
- References
- 0
- Citations by year
- 2025: 2 · 2024: 1 · 2022: 2 · 2020: 5 · 2019: 2 · 2018: 4 · 2017: 4 · 2016: 2 · 2015: 3 · 2014: 6 · 2013: 6 · 2012: 6
- FWCI
- 13.66
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Contraception (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Reproductive Health and Contraception
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Bone health and osteoporosis research
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Menopause: Health Impacts and Treatments
- Keywords
- hormonal contraception, bone health, bone loss, depot medroxyprogesterone acetate, oral contraceptives, injectable contraceptives, contraceptive implants, osteoporosis risk, WHO consultation
- MeSH terms
- Adolescent, Adult, Contraceptive Agents, Female, Delayed-Action Preparations, Female, Humans, Middle Aged, World Health Organization, Bone Density, Medroxyprogesterone Acetate, Progesterone Congeners
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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