Iron Status in Hormonal Contraceptives and IUCDS Users


Abstract:Objective: To evaluate the effect of hormonal contraceptives (combined oral contraceptives pills (COCPs), Depot medroxyprogesterone acetate injection (DMPA)) & IUCDs uses on iron status of the body. Design: Case control study. Setting: Family Planning Center in AL-Batool Teaching Hospital, during the period from April 2002- August 2002.Patients & Methods: One hundred women using contraceptives (39 of them using intrauterine contraceptive devices (IUCDs), 36 women of them using COCPs, and 25 of them using DMPA, age ranged between 19-42 years, and 100 healthy women who did not use neither hormonal contraceptives nor IUCDs as control, age ranged between 20-43 years, were investigated by measuring hemoglobin (Hb) level and PCV by Cyanomethaemoglobin method , serum iron and total iron binding capacity (TIBC) using Enzymatic Calorimetric method and percent iron saturation was calculated by the equation = Results: There was a significant effect of COCPs on serum iron and percent of saturation. In addition, a significant effect was found on PCV and percent iron saturation by IUCDs usage. Conclusion: It is recommended that iron supplementation, be a part of the IUCDs services provided in Family Planning Centers in the view of the high prevalence of anemia among women in child bearing age in Iraq.