What contraceptives help to prevent endometrial cancer? #1003/14

A:  I have heard it one time too often.  “I don’t need to know about birth control. I am done with that.”  She or he could go on to say “I am too old” or “I’ve had my tubes tied.” 

But there are medical conditions for which the best approach today is one of our current contraceptives.  By preventing of ovarian cancer or endometrial cancer, providing contraceptives may be life-saving to some women who do not need birth control.  Decreasing the number of missed days of work or school due to severe menstrual cramps, pain or bleeding, may benefit women from 10 to 50 years of age whether or not they need contraception.  Our current contraceptives are a many-splendored group of drugs.  They are So Much More than just contraceptives.

 

Endometrial cancer (cancer of the lining of the uterus) is prevented by the LNG IUD (Mirena), by combined birth control pills and by Depo-Provera injections.  Endometrial hyperplasia is now treated by the LNG IUD (Mirena).

Endometrial hyperplasia and cancer are more likely to happen in women with circulating estrogen but without progesterone (women with unopposed estrogen).

CONTRACEPTION AND ENDOMETRIAL CANCER: The reduction of endometrial cancer is about 80% in women using combined pills and Depo-Provera [Int J. Cancer-WHO Collaborative Study 1991]. The LNG IUD prevents endometrial hyperplasia and endometrial cancer and is used to treat hyperplasia. The LNG IUD may also be placed for women who are menopausal and taking an estrogen.

 

             

To learn more about the advantages and disadvantages of the Mirena IUD, birth control pills and Depo-Provera injections; go to: www.managingcontraception.com and click on Choices 2013 edition.  You can also order this wonderful new educational book from our website or by calling 404-875-5001.  Do you have your copy yet?  It is now available in English and Spanish.   


 

Robert A. Hatcher MD, MPH

Emeritus Professor of Gynecology and Obstetrics

Emory University School of Medicine

Atlanta, GA

 

 

To learn more about the advantages and disadvantages of the Mirena IUD, birth control pills and Depo-Provera injections; go to: www.managingcontraception.com and click on Choices 2013 edition.  You can also order this wonderful new educational book from our website or by calling 404-875-5001.  Do you have your copy yet?  It is now available in English and Spanish.   

Key Words:  endometrial cancer, uterus, LNG IUD (Mirena), birth control pills, Depo-Provera injections, hyperplasia, contraception, preventing, protective effects, tubes tied, too old, endometrial cancer, menstrual cramps, pain, bleeding, many-splendored drug

 

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Posted on

October 30, 2014