Safety of contraceptive methods for women with rheumatoid arthritis: a systematic review
Farr, S.L.; Folger, S.G.; Paulen, M.E.; Curtis, K.M.
Contraception 82(1): 64-71
2010
ISSN/ISBN: 1879-0518 PMID: 20682144 DOI: 10.1016/j.contraception.2010.02.003Document Number: 211461
Women with rheumatoid arthritis (RA) and their clinicians may have unique concerns about certain methods of contraception. We conducted a systematic review of the literature in the MEDLINE database through February 2009 for peer-reviewed journal articles on use of any method of contraception, or progestins or estrogens, and progression of RA. We identified eight articles that met the inclusion criteria: six examined oral contraceptives (OCs), one progesterone, and one estrogen. We found no studies on other methods of contraception. For OCs, no consistent pattern of improvement or worsening of disease emerged and most patients showed little change in RA symptoms. We saw little improvement in the studies examining progesterone and estrogen. Although sparse and based primarily on older studies of poor quality, this information suggests that OC use is unlikely to affect RA disease progression. Research is needed on other forms of contraception, such as DMPA and IUD.
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