IUDs linked to a reduced risk of cervical cancer: study

Women who useĀ intrauterine devices (IUDs) for contraception purposes have beenĀ found to have aĀ reduced risk of being diagnosed withĀ cervical cancer, according to new research.
An IUD is a small contraceptive device that is placed inside the uterus, which has been used for more than 30 years to prevent pregnancy.
But research from Keck School of Medicine USC, published in the Obstetrics & Gynecology journal, has revealed it may have a double benefit.
Not onlyĀ are IUDsĀ consideredĀ a safe, reversible and 99.8 per cent effective means of contraception, it may also be quietly offering women protection against cervical cancer.
Incidence of cervical cancer in women with IUDs was one-third lower than in those without an IUD, according to the study of 12,000 women worldwide.
āThe pattern we found was stunning. It was not subtle at all,ā lead author Victoria Cortessis, an associate professor of clinical preventive medicine at Keck School, said in a statement.
āThe possibility that a woman could experience some help with cancer control at the same time she is making contraception decisions could potentially be very, very impactful.ā
Researchers were unable toĀ confirm whether the IUD type or duration of use impacted the incidence of cervical cancer.
Dr Beverley Vollenhoven, deputy head of theĀ Department of Obstetrics and Gynaecology at Monash University, said she was excited about the research findings.
She said it would add to the benefits of using an IUD and would be especially helpful for women who may not have access to HPV vaccines.
āThe findings are interesting and donāt appear to be dependent on the type of IUD or the time it is being used,ā Dr Vollenhoven said.
She said that even if the benefit is small, she believes it would be worthwhile for women to consider using an IUD.
Dr Julia Brotherton, medical director of Australiaās National HPV Vaccination Program Register, said it was worth further investigating the association between IUDs and cervical cancer.
āIt does fit well into our understanding of the critical role of persistent HPV infection in causing cervical cancer,ā she said.
āStimulation of an immune response there, by an IUD or during its insertion or removal, could well also stimulate the immune system to detect and resolve an HPV infection.ā
However, Dr Pradeep Tanwar, who investigates gynaecological cancers, said the study was limiting.
āThere are definitely benefits of contraceptives against gynaecological cancers,ā heĀ toldĀ The New Daily.
āHowever, studies like these only providing associations (likelihood) and not cause or effects.
ā[The study] is unlikely to change clinical practice and womenās opinions regarding IUD.ā
Dr Brotherton was also ācautiously optimisticā.
āWe would not want women to thinkĀ [IUDs] replace the excellent protection provided by HPV vaccination and regular cervical screening,ā she said.
āIn settings where screening is not available, and where womenās reproductive choices are limited, it would be worth researching further as a potential strategy to improve womenās health.ā








