Obesity and Contraception: Emerging Issues

Amitasrigowri S. Murthy, M.D., M.P.H., F.A.W.G.

Disclosures

Semin Reprod Med. 2010;28(2):156-163. 

In This Article

Conclusion

As the incidence of obesity reaches epidemic proportions in the United States, there is an even greater need for data about contraceptive efficacy in this population. Family planning counseling for the obese patient must consider comorbid conditions that pose increased health risks. Although the data on OC use in obese women are limited, most data support no decrease in efficacy; there are little data on the efficacy of nonoral hormonal methods in this population. Long-acting reversible methods (IUD, DMPA, Implanon) provide high efficacy while avoiding the increased risk of VTE.

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