Hormonal Contraceptives

According to a new study in Clinical Endocrinology, there is significantly less bone mineral density in adolescent women who were first taking hormonal contraceptives (HCs) compared with those not using them?

This suggests that HC, even though now including much lower estrogen doses than in the past, still has sufficiently high doses to decrease bone turnover and thus to likely suppress the bone formation necessary for optimal adolescent bone growth to peak bone mineral density.

Since HC use is now commonly started during adolescence and is used to treat mild symptomatic, non-contraceptive reasons such as acne and cramps, there may be a negative public health impact from the current practice.

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