بررسی ارتباط روشهای رایج پیشگیری از بارداری با سرطان مهاجم سرویکس

Background and Aim: Invasive cervical carcinoma is one of the most common malignancies in women. The risk factors are old age, low socioeconomic status, multiparity, first intercourse in low age, multipartner, history of infection and sexual transmitted disease (STD), smoking, long term use of oral contraceptive (OCP), malnutrition, and so on. There has been a possible relationship between invasive cervical carcinoma and OCP or any other methods of contraceptive. The contraceptive methods are commonly used in I. R. Iran. It was thus aimed to study the relationship between the methods of contraceptive use and cervical carcinoma. Materials and Methods: In this case- control study, 109 Iranian Moslem patients with cervical carcinoma were selected. The control group (218 individuals) was Iranian Moslem patients that referred to hospital with any reason except gynecology diseases, and had a normal pap- smear in the last year and had no history of colposcopy, cryotherapy, electro cauterization and conization. Results: Almost all (99%) of the cases and 87% of the control group had a history of contraceptive use (P=0.0004). Of which, 71% of the cases and 67% of control group had a history of use of oral contraceptive (P=0.52), 15% and 13.5% of the respective groups had positive history of use of IUD (P=0.75) and 43% of the cases and 31% of the control group had a history of use of condom (P=0.028). Conclusion: There was no statistically significant correlation between OCP or IUD and cervical carcinoma, but there was a significant correlation between the use of condom and cervical carcinoma. Protective effect of condom has relationship with continuously and long term use, but patients in this study had no these characteristics.