Best Practice Contraception Care for Women with Obesity: A Review of Current Evidence

Kathleen McNamee, Alison Edelman, Raymond Hang Wun Li, Simranvir Kaur, Deborah Bateson

Research output: Contribution to journalReview articlepeer-review


The prevalence of obesity among females of reproductive age is increasing globally. Access to the complete range of appropriate contraceptive options is essential for upholding the reproductive rights of this population group. People with obesity can experience stigma and discrimination when seeking healthcare, and despite limited evidence for provider bias in the context of contraception, awareness for its potential at an individual provider and health systems level is essential. While use of some hormonal contraceptives may be restricted due to increased health risks in people with obesity, some methods provide noncontraceptive benefits including a reduced risk of endometrial cancer and a reduction in heavy menstrual bleeding which are more prevalent among individuals with obesity. In addition to examining systems-based approaches which facilitate the provision of inclusive contraceptive care, including long-acting reversible contraceptives which require procedural considerations, this article reviews current evidence on method-specific advantages and disadvantages for people with obesity to guide practice and policy.

Original languageEnglish (US)
Pages (from-to)246-257
Number of pages12
JournalSeminars in Reproductive Medicine
Issue number506
StatePublished - Nov 2022


  • contraception
  • contraceptive benefits
  • contraceptive failure
  • contraceptive safety
  • obesity

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Reproductive Medicine
  • Endocrinology
  • Obstetrics and Gynecology
  • Physiology (medical)


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