Contraceptive use, pelvic d inflammatory isease, and fertility problems among American women: 1982

Sevgi O. Aral, William D. Mosher, Willard Cates

Research output: Contribution to journalArticlepeer-review

10 Scopus citations


To examine the relationships between contraceptive use, pelvic inflammatory disease, and fertility problems, we analyzed data from the 1982 National Survey of Family Growth. This nationally representative sample of reproductive age women in the United States provides the first population-based estimates of fertility problems and pelvic inflammatory disease. Self-reported pelvic inflammatory disease was higher among whomen who had ever used an intrauterine device (23%) than among those who had ever used oral contraceptives (17%). Controlling for other variables, fertility problems were most common among women who had never used a method (42%), but they were also more common among oral contraceptive users (26%) than intrauterine devices users (17%). Our findings are consistent with the hypotheses that (1) intrauterine devices were used primarily by women with proved fertility and (2) oral contraceptives were associated with pelvic inflammatory disease In complex ways, although the exact nature of this association and the underlying disease are not yet completely understood.

Original languageEnglish (US)
Pages (from-to)59-64
Number of pages6
JournalAmerican journal of obstetrics and gynecology
Issue number1
StatePublished - 1987
Externally publishedYes


  • Oral contraceptives
  • infertility
  • intrauterine device
  • pelvic inflammatory disease

ASJC Scopus subject areas

  • Obstetrics and Gynecology


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