Obesity and oral contraceptives: A clinician's guide

Obesity and unintended pregnancy are two of the major health epidemics we are currently facing worldwide. Patient education is a clinician's greatest tool in combating both epidemics but many clinicians may be uncomfortable with counselling and prescribing contraception for obese women. Overall...

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Published inBaillière's best practice & research. Clinical endocrinology & metabolism Vol. 27; no. 1; pp. 55 - 65
Main Authors Shaw, Kate A., MD, Edelman, Alison B., MD, MPH
Format Journal Article
LanguageEnglish
Published Netherlands Elsevier Ltd 01.02.2013
Subjects
bariatric surgery
body mass index (BMI)
contraception
Contraception - adverse effects
Contraception - methods
Contraception - standards
Contraceptives, Oral - administration & dosage
Contraceptives, Oral - adverse effects
Endocrinology & Metabolism
Female
hormonal contraception
Humans
obesity
Obesity - chemically induced
Obesity - epidemiology
oral contraceptive pills
World Health Organization
hormonal contraception
oral contraceptive pills
bariatric surgery
contraception
obesity
body mass index (BMI)
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Summary:Obesity and unintended pregnancy are two of the major health epidemics we are currently facing worldwide. Patient education is a clinician's greatest tool in combating both epidemics but many clinicians may be uncomfortable with counselling and prescribing contraception for obese women. Overall, the prevention of unintended pregnancy in obese women far outweighs any risk associated with oral contraceptive use. This review aims to provide the clinician with a practical guide to the use of oral contraceptive pills in obese women.
ISSN:1521-690X
1878-1594
DOI:10.1016/j.beem.2012.09.001