Weight Change and Hormonal Contraception: Fact and Fiction

Mags E Beksinska; Jenni A Smit; Franco Guidozzi


Expert Rev of Obstet Gynecol. 2011;6(1):45-56. 

In This Article

Five-year View

The next 5 years will hopefully clarify some of the unanswered questions through better-designed research, which focuses on identifying higher risk women and includes newer methods where research evidence is lacking. This is particularly important as long-acting implants may increase in use, particularly in young women, and these methods require careful counseling as they are not as easy to discontinue as other methods. Although discontinuation is more complicated, return to fertility is rapid and there are fewer side effects. Researchers are likely to focus on how baseline weight across the ages may be a trigger to weight gain in some women. The concern regarding early weight gain may also highlight the need to monitor weight more closely in the first 6 months of use. If high-risk groups can be clearly identified, improved counseling with clearer messages based on research can be developed to offer women the best possible advice on contraceptive method choice.


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