Evidence map›Paper›PMID 40569298›Full record

ArticleClinical and translational gastroenterology2025

Nausea and Gastric Myoelectrical Activity Are Influenced by Hormonal Contraception in Chronic Gastroduodenal Disorders.

Alexandria H Lim, Chris Varghese, Gabrielle Sebaratnam, Gabriel Schamberg, Stefan Calder, Armen Gharibans, Christopher N Andrews, Charlotte Daker, Daphne Foong, Vincent Ho and 2 more

Abstract read
In one paragraph

Article in Clinical and translational gastroenterology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Alexandria H LimDepartment of Surgery, The University of Auckland, Auckland, New Zealand.
Chris VargheseDepartment of Surgery, The University of Auckland, Auckland, New Zealand.
Gabrielle SebaratnamAlimetry, Auckland, New Zealand.
Gabriel SchambergDepartment of Surgery, The University of Auckland, Auckland, New Zealand.
Stefan CalderDepartment of Surgery, The University of Auckland, Auckland, New Zealand.
Armen GharibansDepartment of Surgery, The University of Auckland, Auckland, New Zealand.
Christopher N AndrewsAlimetry, Auckland, New Zealand.
Charlotte DakerAlimetry, Auckland, New Zealand.
Daphne FoongWestern Sydney University, Sydney, Australia.
Vincent HoWestern Sydney University, Sydney, Australia.
Michelle R WiseDepartment of Obstetrics and Gynaecology, The University of Auckland, Auckland, New Zealand .
Gregory O'GradyDepartment of Surgery, The University of Auckland, Auckland, New Zealand.ORCID 0000-0002-5998-1080

Funding

Health Research Council of New Zealand
6 · The paper itself

Abstract

introductionChronic gastroduodenal disorders are more prevalent among young women, many of whom are hormonal contraception users. We aimed to evaluate the effects of hormonal contraception on symptom severity and gastric myoelectrical activity in people with chronic gastroduodenal disorders.

methodsThis analysis was conducted on a large international cohort of patients who met Rome IV criteria for chronic nausea and vomiting syndrome or functional dyspepsia and had undergone body surface gastric mapping using Gastric Alimetry. Symptoms were continuously reported on 0-10 Likert scales using a validated symptom logging app.

resultsOne hundred twenty-seven people were included: 43 women using hormonal contraception, 30 not using hormonal contraception, 30 postmenopausal women, and 24 men. Hormonal contraception users had higher nausea than nonusers (3.80 [interquartile range 2.00-5.42] vs 2.25 [0.20-4.43]; P < 0.05), particularly when using combined oral contraceptives with hormone-free intervals compared with continuous use (5.20 [4.30-6.00] vs 2.40 [1.70-3.80], P = 0.02). Premenopausal women were more symptomatic than postmenopausal women and men ( P < 0.001). Principal Gastric Frequency was higher in hormonal contraception users (median 3.1 cpm vs 3.00 cpm, P < 0.001) and highest with progestogen-only formulations ( P < 0.02). DISCUSSION: Women with gastroduodenal disorders on hormonal contraception experience increased nausea in comparison with nonusers, with substantial variation dependent on contraceptive type. Hormonal contraception users also demonstrated modified gastric electrophysiology. These results imply that nonhormonal contraceptive alternatives should be trialled as a means to reduce symptoms in gastroduodenal disorders.

Indexed as

Contraceptives, Oral, HormonalDyspepsiaNauseaAdultChronic DiseaseFemaleHumansMaleMiddle AgedPostmenopauseSeverity of Illness IndexStomachVomitingYoung AdultContraceptives, Oral, Hormonalbody surface gastric mappingcontraceptionfunctional dyspepsiagastroparesisnausea

Identifiers

PMID40569298
PMCPMC12456531

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.