Women with a new PCOS diagnosis are more likely to stop using contraception

  • Copp T & al.
  • Hum Reprod
  • 31/01/2020

  • Elisabeth Aron, MD, MPH, FACOG
  • Clinical Essentials
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Takeaway

  • A new PCOS diagnosis is linked to increased risk that young women will stop using contraception.

Why this matters

  • PCOS is a common endocrine disorder in women of reproductive age and is associated with metabolic syndrome and infertility.
  • Women with PCOS need better health counseling that is tailored and addresses beliefs, perceived self-efficacy, and control.

Study design

  • Longitudinal cohort study.
  • Cohort taken from the Australian Longitudinal Survey on Women's Health (ALSWH), a population-based cohort study.
  • Women born between 1989 and 1995 who completed health surveys were included (n=7170).
  • Main outcomes: change in vegetable intake, physical activity, and contraceptive use after a new diagnosis of PCOS.
  • Funding: ALSWH is funded by the Australian Government Department of Health; individual author funding.

Key results

  • 3% of the cohort reported having PCOS.
  • Women with a new PCOS diagnosis were 3 times more likely to stop using contraception compared with those without a PCOS diagnosis:
  • Relative risk:
    • Model 1: 3.43 (P<.001>
    • Model 2: 2.98 (P<.001>
  • A diagnosis of PCOS did not affect vegetable intake or physical exercise.

Limitations

  • Data were self-reported.