Forearm bone density in users of Depo-Provera as a contraceptive method

OBJECTIVE: To determine the influence of depot medroxyprogesterone acetate (MPA) on bone mineral density when used as a contraceptive method.

DESIGN: Cross-sectional study.

SETTING: Academic tertiary-care hospital.

PATIENT(S): Fifty premenopausal women who had used depot MPA as a contraceptive method for > or =1 year and 50 women who had never used hormonal contraceptive methods.

INTERVENTION(S): Bone mineral density was evaluated at the midshaft and at the distal radius of the nondominant forearm using single x-ray absorptiometry.

MAIN OUTCOME MEASURE(S): Bone mineral density.

RESULT(S): Bone mineral density at the midshaft of the forearm was lower in depot MPA users than in women who had never used hormonal contraceptive methods, but the difference was not statistically significant. At the distal portion, bone mineral density was significantly lower in the study group. The duration of depot MPA use was not related to bone mineral density.

CONCLUSION(S): Women > or =35 years of age presented with a lower bone mineral density only at the distal portion of the forearm after the use of depot MPA for > or =1 year. However, this decrease was not related to the duration of depot MPA use. It is not possible to conclude that women who use depot MPA are at risk of osteoporosis.

Medienart:

Artikel

Erscheinungsjahr:

1999

Erschienen:

1999

Enthalten in:

Zur Gesamtaufnahme - volume:71

Enthalten in:

Fertility and sterility - 71(1999), 5 vom: 26. Mai, Seite 849-52

Sprache:

Englisch

Beteiligte Personen:

Bahamondes, L [VerfasserIn]
Perrotti, M [VerfasserIn]
Castro, S [VerfasserIn]
Faúndes, D [VerfasserIn]
Petta, C [VerfasserIn]
Bedone, A [VerfasserIn]

Themen:

Americas
Biology
Brazil
C2QI4IOI2G
Comparative Studies
Contraception
Contraceptive Agents, Female
Contraceptive Agents, Female--side effects
Contraceptive Agents, Progestin--side effects
Contraceptive Agents--side effects
Demographic Factors
Depo-provera--side effects
Developing Countries
Family Planning
Fertility
Fertility Measurements
Journal Article
Latin America
Longterm Effects--women
Medroxyprogesterone Acetate
Medroxyprogesterone Acetate--side effects
Osteoporosis--women
Parity
Physiology
Population
Population Dynamics
Research Methodology
Research Report
Risk Factors--women
Skeletal Effects
South America
Studies
Time Factors
Women

Anmerkungen:

Date Completed 12.05.1999

Date Revised 07.07.2019

published: Print

Citation Status MEDLINE

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM101636032