Reproductive endocrinology

Frequent Use of Premenopausal Progestin in Women With Prior Preeclampsia

J Clin Endocrinol MetabPublished Register-based cohort study

Authors' conclusion

Increased use of cyclic progestins and LNG-IUD in premenopausal women with a history of preeclamptic pregnancy can be seen as indirect evidence of earlier onset of ovulatory dysfunction. This may contribute to the elevated risk of endometrial cancer in these women. Our findings may indicate an additional late sequela of preeclamptic pregnancy.

Study context

Population
Premenopausal Finnish women with and without prior preeclampsia (1969–1993), followed 1994 to 2019 for oral progestin or LNG-IUD use
Participants
31,688 vs 91,726
Exposure
Women with vs without prior preeclampsia
  • Prior preeclampsian = 31,688
  • Controlsn = 91,726reference
Outcome
Cyclic progestin or LNG-IUD use for menstrual cycle abnormalities
Follow-up
1994 to 2019

Main finding

As reported in the abstract

Cyclic progestin use

P < 0.001

Observational data: associations, not effects.

Further findings

Age at initiation of cyclic progestin · younger with prior preeclampsia

P < 0.001

LNG-IUD insertion

P < 0.001

Future menopausal hormone therapy (MHT) use with cyclic progestin or LNG-IUD use

Cyclic progestin or LNG-IUD use accompanied by significant elevations in future MHT use
37% to 90%

Original publication

Frequent Use of Premenopausal Progestin in Women With Prior Preeclampsia. J Clin Endocrinol Metab. Published 8 October 2024. doi:10.1210/clinem/dgae677

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