Impact of Combined Oral Contraceptive Pills on CD4 Count, Osmotic Fragility, Total and Differential White Blood Cells of Users in Antenatal Clinic in Port Harcourt

Ihua Confidence Waribo

Department of Human Physiology, Faculty of Basic Medical Sciences, College of Medicine, David Umahi University of Health Sciences, Uburu, Ebonyi State, Nigeria.

John Nwolim Paul *

Department of Human Anatomy, Faculty of Basic Medical Sciences, Rivers State University, Port Harcourt, Nigeria.

Idawarifa Frank Cookey-Gam

Department of Public Health Science, Faculty of Basic Medical Sciences, Rivers State University, Port Harcourt, Nigeria.

Amaka Azubuike Ogba

Department of Public Health Science, Faculty of Basic Medical Sciences, Rivers State University, Port Harcourt, Nigeria.

Wariebi Koikoibo

Department of Human Physiology, Faculty of Basic Medical Sciences, College of Health Sciences, Niger Delta University, Bayelsa State, Nigeria.

Chioma Akunnaya Ohanenye

Department of Anatomy, College of Medicine and Health Sciences, Rhema University, Nigeria.

Emmanuella Awajinombek Jones

Department of Medicine and Surgery, Benjamin Carson College of Health and Medical Sciences, Babcock University, Ogun State, Nigeria.

Priscilia Nyekpunwo Ogbonda

Department of Public Health Science, Faculty of Basic Medical Sciences, Rivers State University, Port Harcourt, Nigeria.

*Author to whom correspondence should be addressed.


Abstract

The use of hormonal contraceptives is on the increase among women of reproductive age in Nigeria. In this study, effort was made to examine the influence of combined oral contraceptive on some white blood cells parameters in women attending family planning clinic. Data for this study were obtained through questionnaires administered on one hundred and twenty (120) respondents who were randomly and purposively selected. Blood samples were collected and analysed using appropriate techniques. One way ANOVA was adopted as the statistical analysis method for the study. It was found out from the study that combined oral contraceptive suppresses the immune system of users and may predispose them to infection. Thus, it is concluded from the study that oral contraceptives with high oestrogen could be harmful to users while low oestrogen contraceptive has shown potentials of reversing negative effects of high oestrogen contraceptives. It is recommended from this study that women should cut down on the use of oral contraceptives especially high oestrogen content oral contraceptives.

Keywords: Contraceptives, white blood cells, family planning, immune system, oestrogen


How to Cite

Waribo, Ihua Confidence, John Nwolim Paul, Idawarifa Frank Cookey-Gam, Amaka Azubuike Ogba, Wariebi Koikoibo, Chioma Akunnaya Ohanenye, Emmanuella Awajinombek Jones, and Priscilia Nyekpunwo Ogbonda. 2025. “Impact of Combined Oral Contraceptive Pills on CD4 Count, Osmotic Fragility, Total and Differential White Blood Cells of Users in Antenatal Clinic in Port Harcourt”. Asian Research Journal of Gynaecology and Obstetrics 8 (1):54-62. https://doi.org/10.9734/arjgo/2025/v8i1254.

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