Long-Term Use of Hormonal Contraceptives Associated with Elevated Risk of Brain Tumors, But Risk-Benefit Analysis Still Favors Use of These Contraceptives

Taking a hormonal contraceptive for at least five years is associated with a possible increase in a young woman's risk of developing a rare tumor, glioma of the brain. This project focused on women aged 15 -49 years and the findings are published in the British Journal of Clinical Pharmacology. Hormonal contraceptives, including oral contraceptives, contain female sex hormones and are widely used by women all over the world. While only a little is known about the causes of glioma and other brain tumors, there is some evidence that female sex hormones may increase the risk of some cancer types, although there is also evidence that contraceptive use may reduce the risk in certain age groups. "This prompted us to evaluate whether using hormonal contraceptives might influence the risk of gliomas in women of the age range who use them," says research team leader Dr. David Gaist of the Odense University Hospital and University of Southern Denmark. In this project, the researchers drew data from Denmark's national administrative and health registries, enabling them to identify all the women in Denmark who were between 15 and 49 years of age and had a first-time diagnosis of glioma between 2000 and 2009. They found 317 cases and compared each of these women with eight age-matched women who didn't have gliomas. "It is important to keep this apparent increase in risk in context," says Dr. Gaist. "In a population of women in the reproductive age, including those who use hormonal contraceptives, you would anticipate seeing 5 in 100,000 people develop a glioma annually, according to the nationwide Danish Cancer Registry."
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