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The association between prescribed hormonal contraception and multiple sclerosis risk: a systematic review and meta-analysis - PubMed

3 hours ago
  • #Meta-Analysis
  • #Hormonal Contraception
  • #Multiple Sclerosis
  • The study examines the association between hormonal contraception (HC) use and multiple sclerosis (MS) risk.
  • A systematic review and meta-analysis of 11 studies (6 cohort, 5 case-control) was conducted.
  • Findings were mixed: 5 studies found no significant association, 4 found decreased risk, and 2 found increased risk.
  • Meta-analysis of unadjusted odds ratios (OR) showed a 1.28 increased risk of MS with HC use (95% CI 1.08-1.52).
  • Adjusted ORs and sensitivity analyses showed no significant association, with high heterogeneity observed.
  • Only three studies were classified as high-quality, indicating a need for further well-designed research.
  • Conclusion: No statistically significant association was found, but a possible increased risk warrants more investigation.