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Eating Disorders and Long-Acting Reversible Contraception Side Effects: A Matched Retrospective Cohort Analysis.

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Adolescent and young adults with eating disorders (EDs) using long-acting reversible contraception (LARC) reported more unsatisfactory bleeding. Counseling on potential bleeding changes is crucial for this population.

Keywords:
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Area of Science:

  • Reproductive Health
  • Eating Disorders
  • Adolescent Medicine

Background:

  • Eating disorders (EDs) are associated with concerns about weight gain.
  • Long-acting reversible contraception (LARC) is a common contraceptive method for adolescents and young adults (AYAs).

Purpose of the Study:

  • To compare patient-reported side effects and menstrual management needs after LARC insertion in AYAs with and without EDs.
  • To identify potential differences in LARC experiences between AYAs with and without EDs.

Main Methods:

  • A matched cohort study design was employed.
  • Patients with and without EDs were matched on age, device type, LARC indication, and weight status.
  • Mixed-effects logistic regression models were used to analyze associations between EDs and reported side effects or menstrual management needs.

Main Results:

  • No significant differences were found in overall LARC concerns or pelvic pain between groups.
  • Patients with EDs had nearly double the odds of reporting unsatisfactory bleeding compared to those without EDs.
  • There was no difference in the need for medication-based menstrual management between the groups.

Conclusions:

  • AYAs with EDs experience a higher prevalence of unsatisfactory bleeding with LARC use.
  • Proactive counseling regarding potential bleeding changes is essential for AYAs with EDs considering LARC.
  • Further research may explore specific management strategies for bleeding irregularities in this population.