Hormonal contraceptive use and the risk of sexually transmitted infections: a systematic review and meta-analysis

Simple item page
dc.contributor.authorAkter T
dc.contributor.authorFestin M
dc.contributor.authorDawson A
dc.date.available25/11/2022
dc.date.issued25/11/2022
dc.description.abstractThere are 150 million women worldwide using combined or progestogen-only hormonal contraceptive methods who may be at risk of sexually transmitted infections (STIs). Previous systematic reviews that have sought to establish whether there is an aetiological association between hormonal contraceptive methods/use and STIs have been limited in their methods and have mixed findings. We sought to update these reviews using appropriate control groups. We undertook a systematic review following the PRISMA guidelines and meta-analysis to examine the association between the use of all hormonal contraceptive methods and the acquisition of STIs (Neisseria gonorrhoeae, syphilis/Treponema pallidum, Chlamydia trachomatis, herpes simplex virus, and Trichomonas vaginalis) and/or bacterial vaginosis in literature published between 2005 and 2020. We analysed the effect of hormonal contraceptive methods/use separately on the prevalence, incidence and recurrence of STIs. A total of 37 studies were included in this review that reported 61 associations, in which 27 prevalence, eight incidence and two recurrence studies provided 43, 16, and two associations, respectively. We observed a positive association between hormonal contraceptive methods/use and the risk of chlamydia and herpes but a negative association for trichomoniasis and vaginosis. A negative but statistically insignificant association was observed between hormonal contraceptive methods/use and gonorrhoea. Hormonal contraceptive methods/use influences a woman's risk of STIs/ bacterial vaginosis, but the risk may differ depending on the type of STI. These findings should be contextualized carefully, particularly when formulating practice guidelines and policy, as the effects of hormonal contraceptive methods/use on the risk of STIs varied in direction when analysed separately by STI.
dc.description.confidentialFALSE
dc.identifier.citationScientific Reports, 2022
dc.identifier.doi10.1038/s41598-022-24601-y
dc.identifier.elements-id459231
dc.identifier.harvestedMassey_Dark
dc.identifier.issn2045-2322
dc.identifier.urihttps://hdl.handle.net/10179/17979
dc.publisherSpringer Nature Limited
dc.relation.isPartOfScientific Reports
dc.titleHormonal contraceptive use and the risk of sexually transmitted infections: a systematic review and meta-analysis
dc.typeJournal article
pubs.notesNot known
pubs.organisational-group/Massey University
pubs.organisational-group/Massey University/College of Health
pubs.organisational-group/Massey University/College of Health/School of Health Science
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
s41598-022-24601-y.pdf
Size:
1.29 MB
Format:
Adobe Portable Document Format
Description:
Download
Collections
Journal Articles