Contraceptive use of women laparoscopically diagnosed as ectopic
pregnancy, non-neoplastic ovarian cyst and pelvic infection
H. Hassa1, B. Tekin1,
S. Ozalp1, H.M. Tanir1, A. Karatas1, C. Bal2
1Eskisehir Osmangazi University School
of Medicine, Department of Obstetrics and Gynecology, Eskisehir, Turkey,
2Eskisehir Osmangazi University School of Medicine, Department of Biostatistics,
Eskisehir, Turkey
Objective The study aimed to assess the association of
current contraceptive use with ectopic pregnancy, pelvic infection and
non-neoplastic ovarian cyst.
Design and methods From December 2000 to July
2005, 750 women with laparoscopic surgery were included into the study.
Exclusion criteria were the state of menopause infertility and nulliparity. All
the cases were subdivided into four groups as: with normal (group I);
non-neoplastic ovarian lesions (group II); pelvic infection (group III) and
ectopic pregnancy (group IV). Demographic characteristics and types of
contraceptive methods used were analyzed.
Results Group I, II, III and IV
consisted of 47, 112, 28 and 20 women, respectively. All four groups did not
differ related to mean age and fertility characteristics such as number of
parity, gravidity, number of living children (p>0.05). Of all groups,
combined oral contraceptives (COC) was the most preferred contraceptive method
(23.2%). The least preferred contraceptive method was tubal ligation (9.2%). In
all four groups, albeit statistically insignificant, women with ³ 2 living
children had lower percentage COC use but higher IUD and condom use, compared to
women with < 2 children. Women without any contraceptive use were younger than those who were using a contraceptive method (p<0.001). There were no cases of ectopic in COC users. Compared with group I (11/47,23%), percentage of intrauterine device (IUD) use was higher in the group III, (10/28, 35%), although statistically insignificant.
Conclusions According to this study,
there were no cases of ectopic pregnancy in COC users, which emphasizes the
protective effect of COC for both intra-and extrauterine pregnancy. But, based
on this study, contraceptive use did not seem to be associated with pelvic
pathologies.