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Low-Dose Oral Contraceptives May Increase Risk of Pelvic Pain During Sexual Climax
Date:5/3/2013

egorized as OCP users, with 169 using low-dose and 171 using normal dose OCPs. The researchers found significant differences in the incidence of individual pelvic pain symptoms between OCP users and non−users and further differences with low−dose use. Specifically, results showed:

  • Low−dose OCP users were more likely to report pelvic pain symptoms and more likely to have CPPS than non−users (27.1 percent vs. 17.5 percent, p=0.045).
  • Low-dose OCP users had almost twice the incidence of pain or discomfort during or after sexual climax compared to controls, and there was no difference between normal dose OCP users and controls.
  • Normal dose OCP users were less likely to have pelvic pain symptoms than non OCP users.
  • Forty-four percent of respondents reported onset of pain after beginning OCP use and were more likely to fulfill CPPS criteria than those who had symptoms prior to OCP use (62 percent vs. 30.3 percent, p<0.001).

"This study reveals valuable insights into the relationship between oral contraceptives, pelvic pain and how effects may differ depending on hormone dosage," said Dr. Kristene Whitmore , chair of urology and female pelvic medicine and reconstructive surgery and professor of urology and OBGYN at Drexel University College of Medicine. "It also has been recently reported that patients have an increased incidence of vulvodynia when taking low dose OCPs, therefore additional research is needed to determine if the chronic pelvic pain noted in this study is related to vulvar pain or the hormone dosage."

About the American Urological Association: Founded in 1902 and headquartered near Baltimore, Maryland, the American Urological Association is a leading advocate for the specialty of urology, and has more than 19,000 members throughout the world. The AUA is a premie
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