Evidence for an increased risk of Crohn's disease in oral contraceptive users

  • Center for Biologics Evaluation and Research ROR
  • Georgetown University ROR
  • University of Pennsylvania ROR

Gastroenterology, 89(5), 1046-1049

DOI 10.1016/0016-5085(85)90207-0 PMID 4043662

Abstract

The risk of Crohn's disease in relation to oral contraceptive use was evaluated in a hospital-based, case-control study of 57 women with Crohn's disease and 2189 controls with other conditions. The relative risk for oral contraceptive users compared with women who had never used these drugs was 1.9 (95% confidence interval 1.0-3.5). The magnitude of the relative risk estimate was related to the timing and duration of oral contraceptive use. For use within the year before admission to a hospital (recent use), the relative risk estimate was 4.3 (2.1-8.7); the estimate dropped to 1.2 (0.5-2.6) 4 yr after discontinuation of oral contraceptive use. The relative risk estimate for recent use that lasted greater than or equal to 5 yr was 8.0 (3.1-21). The findings are in accordance with earlier reports of an increased risk of Crohn's disease in oral contraceptive users.

Topics

oral contraceptive Crohn's disease risk, hormonal contraception inflammatory bowel disease case-control, oral contraceptive use gastrointestinal autoimmune risk, birth control pill Crohn's disease relative risk, duration oral contraceptive use Crohn's disease dose response, oral contraceptive side effects intestinal inflammation, contraceptive pill autoimmune disease risk women, hospital-based case-control study oral contraceptives Crohn's, hormonal contraception gastrointestinal complications, oral contraceptive discontinuation Crohn's disease remission risk
PMID 4043662 4043662 DOI 10.1016/0016-5085(85)90207-0 10.1016/0016-5085(85)90207-0

Cite this article

Lesko, S. M., Kaufman, D. W., Rosenberg, L., Helmrich, S. P., Miller, D. R., Stolley, P. D., & Shapiro, S. (1985). Evidence for an increased risk of Crohn's disease in oral contraceptive users. *Gastroenterology*, *89*(5), 1046-1049. https://doi.org/10.1016/0016-5085(85)90207-0

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