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Titre :
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Contraception in adolescents with anorexia nervosa. Is there evidence for a negative impact of combined hormonal contraceptives on bone mineral density and the course of the disease? (2020)
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Auteurs :
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G.S. MERKI-FELD, Auteur ;
J. BITZER, Auteur
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Dans :
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EUROPEAN JOURNAL OF CONTRACEPTION & REPRODUCTIVE HEALTH CARE (THE) (Vol. 25 - N° 3, June 2020)
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Article en page(s) :
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pp.213-220
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Langues:
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Anglais
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Index. décimale :
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231 (Contraception hormonale)
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Catégories :
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ADOLESCENTS
ANOREXIE
CONTRACEPTION
CONTRACEPTION HORMONALE
CONTRE-INDICATIONS
EFFETS INDESIRABLES
MENSTRUATION
OS
OSTEOPOROSE
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Résumé :
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Adolescents with anorexia nervosa (AN) are at increased risk of unplanned pregnancies and bone loss, due to low oestrogen levels and low use of efficient contraception. The negative impact of combined hormonal contraceptives (CHC) on peak bone mass during adolescence might limit wider use in anorexic women. The authors performed a narrative review of the current litterature investigating the effect of CHC or progestin-only contraceptives on bone density, body shape and course of disease in young women with anorexia. They conclude, that at present there is no evidence, that use of CHC by AN patients has a negative impact on bone density or the course of disease.
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