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Hormonal Contraception and Risk of Chlamydia and Gonorrhea

This study has been terminated.
Information provided by National Institute of Child Health and Human Development (NICHD)

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Descriptive Information Fields
Brief Title  Hormonal Contraception and Risk of Chlamydia and Gonorrhea
Official Title  Hormonal Contraception, Cervical Ectopy, and STDs
Brief Summary

There are biological reasons to suspect that hormones may affect the risk of a woman becoming infected with a sexually transmitted disease. The evidence on this issue to date is mixed and previous studies have methodologic flaws making it difficult to draw conclusions about the results.

This study compares the risk of developing either Chlamydial or Gonorrheal infection among three groups of women: those using combined oral contraceptives (birth control pills); those using the injectable hormone (brand name Depo Provera); and those women using non-hormonal contraceptive methods.

Detailed Description

The study was designed to examine the relationship between hormonal contraceptive use and possible increased risk of Chlamydial and Gonococcal sexually transmitted infections, and to determine if any increased risk appeared to be mediated by the extent of cervical ectopy.

Eight hundred and nineteen women, ages 15 to 45 years, were recruited from an inner city clinic and from a nearby suburban clinic. The women were classified into three groups based on type of contraceptive used. One group used oral contraceptives; the second used injectable depo-medroxyprogesterone acetate (DMPA); and the third group used non-hormonal contraceptive methods. Women from each group were followed at 3, 6, and 12 months after enrollment to determine if a new infection with Chlamydia or Gonorrhea had occurred and to evaluate the extent of cervical ectopy present.

Study Phase Phase IV
Study Type  Observational
Study Design  Natural History, Longitudinal, Defined Population, Prospective Study
Primary Outcome Measure 
Secondary Outcome Measure 
Condition  Chlamydia Infection
Neisseriaceae Infection
Intervention  Drug: Depo Medroxyprogesterone acetate
Drug: Combined oral contraceptives
MEDLINE PMIDs
Links
Recruitment Information Fields
Recruitment Status  Terminated
Enrollment  1200
Start Date  September 1997
Completion Date August 2001
Eligibility Criteria 

Inclusion Criteria:

  • Female age 15 to 45 years
  • no hormone use at enrollment
  • not pregnant or planning pregnancy

Exclusion Criteria:

  • Cervical cancer presently or in history
  • hysterectomy, cone biopsy, or cervical cryotherapy
Gender Female
Ages 15 Years to 45 Years
Accepts Healthy Volunteers Yes
Contacts ††
Location Countries 
Administrative Information Fields
NCT ID  NCT00091728
Organization ID HD7034
Secondary IDs ††
Study Sponsor  National Institute of Child Health and Human Development (NICHD)
Collaborators ††
Investigators 
Principal Investigator:     Charles Morrison, Ph.D.     Family Health International, RTP, N.C.    
Principal Investigator:     Paul Blumenthal, M.D.     Maryland Planned Parenthood    
Information Provided By National Institute of Child Health and Human Development (NICHD)
Verification Date September 2004
First Received Date  September 16, 2004
Last Updated Date November 4, 2005

 †    Required WHO trial registration data element.
††   WHO trial registration data element that is required only if it exists.




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