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Related Experiment Videos

Combination contraceptives: effects on weight.

M F Gallo, L M Lopez, D A Grimes

    The Cochrane Database of Systematic Reviews
    |January 27, 2006
    PubMed
    Summary
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    This review found insufficient evidence to link combination contraceptives to significant weight gain. While concerns exist, studies did not establish a causal relationship, suggesting no large effect on weight for most users.

    Area of Science:

    • Reproductive Health
    • Pharmacology
    • Evidence-Based Medicine

    Background:

    • Combination hormonal contraceptives are widely used for birth control.
    • A common concern among users and clinicians is potential weight gain associated with these contraceptives.
    • This concern can negatively impact contraceptive adherence and continuation rates.

    Purpose of the Study:

    • To systematically review and evaluate the scientific evidence regarding the association between combination contraceptive use and changes in body weight.
    • To clarify whether combination contraceptives cause significant weight gain.

    Main Methods:

    • Conducted a comprehensive literature search across multiple databases (MEDLINE, POPLINE, CENTRAL, EMBASE, LILACS) for relevant studies.
    • Included English-language randomized controlled trials (RCTs) with at least three treatment cycles, comparing combination contraceptives to placebo or different formulations.

    Related Experiment Videos

  • Analyzed data using meta-analysis techniques, calculating weighted mean differences and Peto odds ratios with 95% confidence intervals to assess weight changes.
  • Main Results:

    • Three placebo-controlled RCTs found no evidence to support a causal link between combination oral contraceptives or skin patches and weight gain.
    • Comparisons between different combination contraceptive formulations generally showed no significant differences in weight change.
    • Discontinuation rates due to weight gain did not differ between contraceptive groups in the studies analyzed.

    Conclusions:

    • Current evidence is insufficient to definitively establish a causal effect of combination contraceptives on weight.
    • However, the available data do not indicate a large or clinically significant impact on weight for most individuals using these methods.