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Contraceptive use of women laparoscopically diagnosed as ectopic pregnancy, non-neoplastic ovarian cyst and pelvic infection - contraception-esc.com

Contraceptive use of women laparoscopically diagnosed as ectopic pregnancy, non-neoplastic ovarian cyst and pelvic infection

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.

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