荷尔蒙避孕药的使用与甲状腺功能低下的发病率降低有关
1Department of Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin.
概括
发现荷尔蒙避孕药,包括雌激素-孕激素避孕药,仅孕激素的避孕药和子宫内装置,可以降低女性患甲状腺功能低下症的风险. 在所有研究的激素避孕药中都观察到这种保护作用.
科学领域:
- 内分泌学 在内分泌学.
- 生殖健康 生殖健康
背景情况:
- 甲状腺功能低下症是一种常见的内分泌疾病,不成比例地影响女性.
- 激素因素和药物在女性甲状腺功能低下风险中的作用需要进行调查.
研究的目的:
- 调查一种假设,即荷尔蒙避孕药的使用会影响18-45岁妇女患甲状腺功能低下症的风险.
主要方法:
- 使用TriNetX数据库进行了一项病例控制研究.
- 分析了四个组:雌激素-孕激素避孕药 (EPC) 用户,仅孕激素避孕药 (POC) 用户,含孕激素的子宫内避孕装置 (IUD) 用户和对照组.
- 收集了关于甲状腺功能低下症诊断,酒精使用,烟草使用和体重指数的数据.
主要成果:
- 这项研究包括超过18,500名女性.
- 使用荷尔蒙避孕药与降低甲状腺功能低下的风险有关.
- 只有孕激素的避孕药 (OR=0.14) 和宫内节育器 (IUD) (OR=0.12) 显示出最强的保护作用,而雌激素和孕激素的避孕药也显示出显著的保护作用 (OR=0.30).
结论:
- 在所有研究的形式中,使用荷尔蒙避孕药显示出对甲状腺功能低下症的发展有保护作用.
- 这些发现表明,荷尔蒙避孕药可能在减轻女性甲状腺功能低下风险方面发挥作用.
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