A new study has found that certain types of birth control may be
linked to an increased risk of developing glioma, a rare type of brain
cancer.
The Danish research project found that women under the age of 50 with
glioma were “90 percent more likely to have been using hormonal
contraceptives for five years of more, compared with women from the
general population with no history of brain tumor,” said Dr. David
Gaist, lead author of the study, according to CBS News.
The researchers reported that use of hormonal contraceptives did
increase the risk of developing glioma, with a sharper increase the
longer the duration of use.The study also noted that the risk seemed to
increase for women using pills with the hormone progestogen rather than
estrogen.
It is important to point out that the researchers found only a
correlation. The researchers could not isolate a cause and effect
relationship and Gaist stresses that the results “need to be put into
context.” The most important context is the rarity of glioma.
Only five of every 100,000 Danish women between the ages of 15 and 49
develop glioma each year. This figure includes women who use oral
contraceptives.
“An overall risk-benefit evaluation favors continued use of hormonal contraceptives,” said Gaist.
The study looked at 317 cases of glioma in women ages 15-49 from 2000
to 2009. Among them, 60 percent had used oral contraceptives. This
group was then compared to 2,100 women without glioma, about 50 percent
of whom used oral contraceptives.
Dr. Evan Myers is a professor of obstetrics and gynecology at Duke
University Medical Center. Myers told CBS the study was “really
well-done.”
However, Myers also points out that the lack of a cause and effect
relationship means further research is required. He encouraged future
research to focus on other indirect factors that may play a role in the
increased risk for glioma.
“Even if hormonal contraception does increase the relative risk of
glioma, the absolute risk — the actual increase in chances of having a
glioma diagnosed — is quite small,” said Myers.
“Without going through the math, it’s about 8.5 [cases] per million.”
The study is published in the British Journal of Clinical Pharmacology.
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