Table 4. Adjusted odds ratio and 95% confidence interval for endometrial cancer in relation to causes of infertility in the E2C2 pooled analysis.
Cases (n=7877) |
Control (n=11 466) |
|||||
---|---|---|---|---|---|---|
N | % | N | % | ORa | 95% CI | |
Sought medical attentionb | ||||||
Never infertile | 5573 | 72 | 8957 | 79 | 1.00 | — |
Did not seek attention for infertility issues | 778 | 10 | 852 | 7 | 1.16 | (1.02–1.31) |
Sought medical attention for infertility issues | 1398 | 18 | 1565 | 14 | 1.24 | (1.13–1.37) |
Unknown (among women who reported having infertility issues) | 128 | — | 92 | — | — | — |
Cause investigationb | ||||||
Never infertile | 5573 | 81 | 8957 | 87 | 1.00 | — |
Cause identified | 953 | 14 | 851 | 8 | 1.31 | (1.17–1.48) |
Cause not identified | 342 | 5 | 441 | 4 | 1.22 | (1.03–1.44) |
Cause not investigated | 36 | 1 | 43 | 0 | 1.11 | (0.68–1.82) |
Causes found (not mutually exclusive) | ||||||
Endometriosisc | ||||||
Never infertile | 5573 | 87 | 8957 | 93 | 1.00 | — |
No, infertility not due to endometriosis | 731 | 11 | 546 | 6 | 1.28 | (1.12–1.47) |
Yes, infertility due to endometriosis | 136 | 2 | 87 | 1 | 1.80 | (1.34–2.42) |
Anovulation/PCOSa | ||||||
Never infertile | 5573 | 92 | 8957 | 95 | 1.00 | — |
No, infertility not due to anovulation/PCOS | 343 | 6 | 277 | 3 | 1.07 | (0.89–1.29) |
Yes, infertility due to anovulation/PCOS | 124 | 2 | 182 | 2 | 1.28 | (0.98–1.67) |
Structural defectse | ||||||
Never infertile | 5573 | 87 | 8957 | 93 | 1.00 | — |
No, infertility not due to structural defects | 398 | 6 | 299 | 3 | 1.15 | (0.97–1.37) |
Yes, infertility due to structural defects | 405 | 6 | 330 | 3 | 1.35 | (1.13–1.62) |
Male factorsf | ||||||
Never infertile | 5573 | 92 | 8957 | 96 | 1.00 | — |
No, infertility not due to male factors | 333 | 5 | 255 | 3 | 1.14 | (0.95–1.38) |
Yes, infertility due to male factors | 156 | 3 | 127 | 1 | 1.21 | (0.93–1.59) |
Abbreviations: CI=confidence interval; OR=odds ratio; PCOS=polycystic ovary syndrome.
Adjusted for age, study site, race, ever oral contraceptive use, ever menopausal hormone therapy use, parity, interview year and body mass index. Missing set as separate category for each covariate.
Based on 13 studies.
Based on 9 studies.
Based on 8 studies.
Based on 9 studies.
Based on 8 studies.