All-cause mortality is not higher with oral contraceptive use.
Oral contraceptives (OCs) are used by millions of women worldwide, yet some remain concerned about the safety of OCs. To assess whether OCs affect women's overall and cause-specific mortality, investigators analyzed data collected between 1976 and 2012 from 121,701 participants in the Nurses' Health Study, 48% of whom had ever used OCs.
In both unadjusted and fully adjusted models, no association was observed between OC use and all-cause mortality. Longer duration of OC use lowered ovarian cancer mortality but was associated with increased risk for breast cancer and violent death.
Reviewing Author
DisclosuresConsultant/Advisory BoardPlanned Parenthood Federation of America
Grant/Research SupportSociety of Family Planning; California Department of Public Health Tobacco Control Program
Editorial BoardsContraception; Journal of General Internal Medicine
Leadership Positions in Professional SocietiesCouncil Member, Society of General Internal Medicine
DisclosuresConsultant/Advisory BoardPlanned Parenthood Federation of America
Grant/Research SupportSociety of Family Planning; California Department of Public Health Tobacco Control Program
Editorial BoardsContraception; Journal of General Internal Medicine
Leadership Positions in Professional SocietiesCouncil Member, Society of General Internal Medicine