A Qualitative Study of Young Women's Beliefs About Intrauterine Devices: Fear of Infertility

Payne, Jackelyn B.; Sundstrom, Beth; DeMaria, Andrea L.

doi:10.1111/jmwh.12425

Cited by 43 publications

(46 citation statements)

References 35 publications

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“…Specifically, this could be because the desire for more children tends to be lower among married women (who may possibly have completed their family size before opting for LARC method) compared to unmarried women. Single or unmarried women may also adopt appropriate long-term reversible methods, nevertheless fear of side effects such as infertility or delay in getting pregnant may prevent many of them from using LARC methods [41]…”

Section: Discussionmentioning

confidence: 99%

Trends, patterns and determinants of long-acting reversible methods of contraception among women in sub-Saharan Africa

2019

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Background Method-specific contraceptive prevalence varies widely globally, as huge variations exist in the use of different types of contraception, with short-term methods being the most common methods in sub-Saharan Africa (SSA). Evidence is scanty on the trends, patterns and determinants of long-acting reversible contraceptive (LARC) methods in SSA. This study aimed to address this knowledge gap. Methods Using a pseudo longitudinal research design and descriptive and inferential statistics, we analysed Demographic and Health Survey data of eight countries selected on the basis of contraceptive prevalence rates across SSA. Multinomial logistic regression modelling was used to tease out the predictors of the uptake of LARC methods in the selected countries. Results Findings exhibit a steady but slow upward trend in LARC methods across selected countries, as a marginal increase was recorded in LARC uptake over a 10-year period in many of the selected countries. Results established significant predictors of LARC methods uptake, including fertility-related characteristics, age, level of education, work status, wealth index and exposure to mass media. This study underscored the need to address various barriers to the uptake of LARC methods in SSA. It is recommended that governments at different levels undertake to cover the costs of LARC methods in order to increase access and uptake.

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Section: Discussionmentioning

confidence: 99%

Trends, patterns and determinants of long-acting reversible methods of contraception among women in sub-Saharan Africa

2019

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“…Common concerns include impact on fertility, safety of amenorrhea, and the absence of autonomy in LARC removal. [24][25][26][27] HCPs should be prepared to help teens have access to removal if and when they desire discontinuation. Teens value HCP discussion and may specifically ask for decision support but also value autonomy in decision making.…”

Section: Influences On Contraceptive Decision Makingmentioning

confidence: 99%

Best Practices for Counseling Adolescents about the Etonogestrel Implant

Berlan

Richards

Vieira

et al. 2020

Journal of Pediatric and Adolescent Gynecology

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Among young persons, ease of use, high efficacy, and high acceptability makes the etonogestrel (ENG) contraceptive implant an important choice for this age group. Adolescent-friendly, patient-centered counseling considers the patient's cognitive development, the influence of friends and family, as well as their own preferences and values. Age appropriate language, graphics and models are useful to explain contraceptive options and relevant side effects. Effectiveness, reversibility, safety, non-contraceptive benefits, and side effects are important attributes and should be discussed when teens are choosing a contraceptive method. This review describes suggested best practices for counseling adolescents about the ENG implant so they can make informed, prudent decisions about using this contraceptive method.

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“…A concern among many clinicians and younger women is that IUC use is associated with infertility. 43 Many studies examining IUC use and infertility examined the CuIUDs, and evidence for LNG IUS is more limited, though reassuring. Fertility is rapidly restored following removal of an IUS, with 80%–92% of women conceiving within a year of LNG IUS removal.…”

Section: Safetymentioning

confidence: 99%

Levonorgestrel-releasing intrauterine systems for long-acting contraception: current perspectives, safety, and patient counseling

Costescu¹

2016

IJWH

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Unintended pregnancy is a significant global problem. In 2008, there were over 100 million unplanned pregnancies worldwide, representing approximately 41% of global conceptions. Family planning strategies in many countries are shifting from increasing the uptake of contraception among nonusers to increasing the uptake of the most effective methods among users of less effective methods. One of the most effective and acceptable methods of contraception is the levonorgestrel-releasing intrauterine system (LNG IUS); however, its uptake varies widely by country. This article reviews the currently available LNG IUSs, the rationale for increasing uptake of these methods, and evidence regarding safety, and discusses counseling strategies to best inform women about this option for contraception.

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A Qualitative Study of Young Women's Beliefs About Intrauterine Devices: Fear of Infertility

Abstract: The link between fear of infertility and perceived identity was found to be a major factor in young women's contraceptive decision making. In order to increase uptake of IUDs, the beliefs of women must be addressed.

Cited by 43 publications

References 35 publications

Trends, patterns and determinants of long-acting reversible methods of contraception among women in sub-Saharan Africa

Trends, patterns and determinants of long-acting reversible methods of contraception among women in sub-Saharan Africa

Best Practices for Counseling Adolescents about the Etonogestrel Implant

Levonorgestrel-releasing intrauterine systems for long-acting contraception: current perspectives, safety, and patient counseling

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