Bone Mass and OC Use
Studies Examining Association
n 9/13 studies show positive effects
n Up to 12% increase in BMD vs. control subjects
n Greatest protection with OC use of 10 y
n Primarily an estrogen effect; progestins
may be important
n 4 studies show neutral effect
n No studies show decreased BMD with OC use
Kuohung W et al.  Contraception. 2000;61:77-82.