Abstract

Haematologic Variations Associated With the Long Term Use of Contraceptives in Young Females

Objective: The purpose of the present study was to compare the extent of variation in haematologic parameter associated with the long term use of hormonal and non hormonal contraceptives in urban population of low socio-economic group.
Type of Study: Cross sectional study. Setting: Clinical setting. Patients and Methods: Fifty-four young females of age ranging from 26-32 years maintained on Oral contraceptives (OC), Depo-medroxy progesterone (DMPA), Norethisterone (NET-EN), Implant and non hormonal intrauterine contraceptive device (IUCD) for at least one year were invited. Fasting blood samples were collected for the analysis of haematologic parameters. All the results were entered in MS-Excel and mean ± standard deviation was calculated for each frequency.
Results: Comparision among different groups was done by calculating percentile differences among groups. Though the result of the study does not showed the significant differences in various indices but the hemoglobin levels in IUCD group was found to be significantly low as compared to hormonal contraceptives. Use of hormonal contraceptives was associated with better haematologic profile whereas IUCDs were found to pose risk of anemia in already anemic population of low socio economic group. Conclusion: Though the risk in this group of young females maintained on contraceptives was found to be minimized because of good monitoring but continuation of IUCDs might cause this slight predisposition of sub clinical anemia into a well defined anemic disease later in their lives. It is therefore recommended to use intrauterine contraceptive devices with caution in anemic women and such methods should be used under close monitoring.


Author(s): Subia Jamil, Rafeeq Alam Khan, Huma Dilshad and Sakina Fatima

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