A 10-year review of progestogen-only injectable contraceptive use at a private facility in Lagos, Southwest Nigeria

Ijasan, Olaolopin; Upeh, Ernest Ruto

doi:10.4103/nnjcr.nnjcr_50_19

Cited by 2 publications

(3 citation statements)

References 17 publications

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“…These are the most common reasons why users abandon them (10, 11). Several studies confirm that injectable contraceptives cause sexual and libido problems after a certain period of use in Europe (12)(13)(14), the United States (15)(16)(17), and Central Africa (18,19). Although injectable contraceptive use remains low in sub-Saharan Africa with a slowly increasing tendency (11,20,21), side effects are already reported in this recent practice (18,22).…”

Section: Introductionmentioning

confidence: 95%

“…Several studies confirm that injectable contraceptives cause sexual and libido problems after a certain period of use in Europe (12)(13)(14), the United States (15)(16)(17), and Central Africa (18,19). Although injectable contraceptive use remains low in sub-Saharan Africa with a slowly increasing tendency (11,20,21), side effects are already reported in this recent practice (18,22). It is the case of the Ivorian context that is marked by a low national contraceptive prevalence (13.9%) with important regional disparities; a high maternal mortality (614 deaths per 100,000 live births) while 38 deaths per 1,000 live births are deplored in neonatology and 108 deaths per 1,000 live births in children under 5 years of age (23).…”

Section: Introductionmentioning

confidence: 95%

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Libido–sexual disorders and abandonment of injectable contraceptives among users of the Ivorian Association for Family Well-Being in Korhogo, Côte d’Ivoire

Essis,

Yeo,

Amalaman

et al. 2023

Front. Glob. Womens Health

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IntroductionThe recent introduction of modern contraceptive methods in resource-limited countries is confronted with the occurrence of undesirable effects that hinder their use in the long term. This study conducted among the users of the Ivorian Association for Family Well-Being in Korhogo describes the libido–sexual problems associated with the discontinuation of injectable contraceptives in former users. The objective of the study was to identify the factors that led to the abandonment of injectable contraceptives among female users of the Ivorian Association for Family Well-Being in Korhogo between 2018 and 2019.Materials and methodsQualitative data were collected from 15 former users (24–38 years old) of injectable contraceptives duration of 2–3 months. Additional data were collected from five health workers aged 35–60 years. In-depth interviews were conducted to explore the experience with injectable contraceptives and reasons for discontinuation. Following data collection, audio-recorded data were transcribed, translated, and coded using thematic analysis through an inductive approach.ResultsSide effects identified as associated with injectable contraceptives include libido–sexual disorders, unusual bleeding, and weight gain. The most common reason for discontinuation were libido–sexual disorders, which impacted the households’ intimacy and provoked their abandonment or the change of contraceptive methods among injectable contraceptive users.ConclusionAdverse events were dominated by libido–sexual disorders, unusual bleeding, and weight gain leading to the abandonment or change of the contraceptive. These results suggest points of intervention for increasing continuation among users. This intervention should include training of health workers to investigate and manage adverse events related to the use of injectable contraceptives and the improvement of communication between health workers and users on adverse events of injectable contraceptive use.

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Section: Introductionmentioning

confidence: 95%

Section: Introductionmentioning

confidence: 95%

Libido–sexual disorders and abandonment of injectable contraceptives among users of the Ivorian Association for Family Well-Being in Korhogo, Côte d’Ivoire

Essis,

Yeo,

Amalaman

et al. 2023

Front. Glob. Womens Health

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“…Globally according to previously conducted studies the 12-month life-table discontinuation rate due to these side effects was 58%,with half of those who stopped after one injection 6 .The study of the factors of drop out of DMPA injections in Indonesia discovered that they want to conceive or have children right away 35.13% and that the negative side effects like delay in return to fertility after method discountution is the reason for their abandonment 10,11 . Medroxyprogesterone Acetate (MPA) tends to persist in the bloodstream and prevent ovulation for several months after DMPA administration is stopped 8,12 Different reports indicate that there is a variable delay in the resumption of menstruation, ovulation and fertility after DMPA is discontinued [13][14][15] .…”

Section: Introductionmentioning

confidence: 99%

Delay in Return to Fertility after Discontinuation of Using Depo-Provera and Associated Factors Among Currently Pregnant Women Attending Antenatal Care in Public Health Facilities in Gindeberet District, Oromia, Ethiopia, 2021

Tolera,

Kubela,

Obssie

2024

Preprint

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Background: One of the of methods to control fertility is use of injectable Depo-Provera which has the side effect of delaying return to fertility after discontinuation of it. Delay of fertility return after the method termination remains a major concern for women who use it. This fear poses a negative impact on utilization and continuation of Depo-Provera in developing nations including Ethiopia. Therefore, determining the median delay of fertility return after discontinuation of Depo-Provera and identifying the associating factors are important for developing solutions to the issues of clients and health care providers Objective: To assess delay in fertility return after discontinuation Depo-Provera and associated factors among pregnant women attending ANC in public health facilities in Gindeberet district, Oromia, Ethiopia ,2021 Methods: Facility based cross sectional study was conducted on 415 pregnant women attending Antenatal care in Public Health Facilities in Gindeberet district from August 10-October 10/2021.Consecutive sampling technique was used. pretested structured Interviewer-administered questionnaire was used to collect data.Data were entered into Epi infoversion 7 and then exported to SPSS version 25 for cleaning ,analysis and summarized using descriptive statistics of Frequencies and median. Bivariate and multivariable logistic regression was applied to estimate the crude and adjusted odds ratios with 95% CI to determine the presence and strength of association and P- value < 0.05 as cut off point Result: The median delay of fertility return in this study was found to be 10 months from date of Depo-Provera discontinuation. The magnitude of fertility delay in this study was 45.5%[95%CI=38.4.4%,52.6%].Multivariable analysis showed that being lower income ≤2500 ETB [AOR:0.09 (0.042,0.21)],Age group from 15-24years [AOR:0.04 (0.006, 0.23)], Age group from 30-34yearsAOR:[0.23(0.083,0.66)],Age at first sex 19-23years [AOR:0.4(0.17,0.93)],Being sexually active1day/week[AOR:5.5(1.4,20.8)] sexually active 2-3days/week [AOR:4.2 (1.7,14.9)] had significant association with delay in return to fertility after discontinuation of using Depo-Provera. Conclusion and recommendation: After discontinuation of Depo-Proverathere is significant delay in return to fertility. Therefore, Women should be counseled that there is a potential for delay in return to fertility following discontinuation of the method.Being older age, being higher income, infrequent sexual intercourse and delayed age at first sex were predictors of fertility delay after discontinuation of Depo-Provera.

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A 10-year review of progestogen-only injectable contraceptive use at a private facility in Lagos, Southwest Nigeria

Cited by 2 publications

References 17 publications

Libido–sexual disorders and abandonment of injectable contraceptives among users of the Ivorian Association for Family Well-Being in Korhogo, Côte d’Ivoire

Libido–sexual disorders and abandonment of injectable contraceptives among users of the Ivorian Association for Family Well-Being in Korhogo, Côte d’Ivoire

Delay in Return to Fertility after Discontinuation of Using Depo-Provera and Associated Factors Among Currently Pregnant Women Attending Antenatal Care in Public Health Facilities in Gindeberet District, Oromia, Ethiopia, 2021

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