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This study aimed to evaluate the associations between type and route of hormone use (such as birth control pills, estrogen/progestin pills, estrogen only patch) and urinary incontinence (UI) and pelvic organ prolapse (POP) in pre- and post-menopausal women. The researchers utilized data from the National Health and Nutritional Examination Survey (NHANES) from 2005-2012 and included both pre- and post-menopausal women aged 13 years and older. UI was defined as experiencing urinary leakage "less than once a month" or more, and POP was defined as an affirmative response to "experience bulging in the vaginal area". The results showed that birth control pills, estrogen/progestin pills, and estrogen-only patch use were associated with UI in pre-menopausal women. Birth control pills were also associated with POP in pre-menopausal women. In post-menopausal women, estrogen-only pills and estrogen/progestin pill use were associated with UI, while birth control pill use was associated with POP. The study found no association between estrogen patch or estrogen/progestin patch use and UI or POP in post-menopausal women. The findings suggest that the type and route of hormone use have varied associations with UI and POP in pre- and post-menopausal women. The researchers recommend further prospective studies to evaluate these relationships in more detail.
Keywords
hormone use
birth control pills
estrogen/progestin pills
estrogen-only patch
urinary incontinence
pelvic organ prolapse
pre-menopausal women
post-menopausal women
NHANES
associations
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