Acceptability of the Vaginal Contraceptive Ring Among Adolescent Women

Terrell, Lekeisha; Tanner, Amanda E.; Hensel, Devon J.; Blythe, Margaret J.; Fortenberry, J. Dennis

doi:10.1016/j.jpag.2011.02.003

Cited by 23 publications

(16 citation statements)

References 35 publications

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“…(Roumen, 2008). Adolescent women most willing to try the ring reported more comfort with their genitals and greater knowledge of positive ring attributes (month-long protection, covert use) (Terrell et al, 2011). In one study, over 91% of women using the ring reported a steady increase or no change in sexual desire over 12 cycles (Sabatini & Cagiano, 2006) (see citation in "Multiple Methods" section).…”

Section: Higgins and Smithmentioning

confidence: 99%

“…Ring-related events (feeling the ring inside vagina, interference with sex, and expulsion) were associated with higher rates of discontinuation (Roumen, 2008). Women less willing to try the ring reported concerns of the ring getting lost inside or falling out of the vagina (Terrell et al, 2011). Mild adverse outcomes included bleeding, nausea, headache, and breast tenderness (Caruso et al, 2014;Roumen, 2008).…”

Section: Higgins and Smithmentioning

confidence: 99%

“…Women who were more satisfied with the method (including positive sexual attributes of the method) were more likely to adhere to correct use and to continue use over time (Merkatz et al, 2014). Among women less comfortable touching own genitals, providing alternative strategies such as wearing gloves or using an applicator to insert/remove the ring may facilitate willingness to try the method (Terrell et al, 2011). The extent to which ring users enjoy and/or find bothersome vaginal wetness associated with use should be explored to better understand sexual acceptability (Battaglia et al, 2014) Carlo, Sansone, et al, 2014).…”

Section: Higgins and Smithmentioning

confidence: 99%

“…At the basic level of sexual self-comfort, the ring requires touching one's genitals. In one U.S. study of adolescent women, those participants most willing to try the ring expressed more comfort with their genitals (Terrell, Tanner, Hensel, Blythe, & Fortenberry, 2011). Women less apt to try the method were concerned that the ring could get lost inside or easily fall out of the vagina.…”

Section: Combined Hormonal Vaginal Ringmentioning

confidence: 99%

See 3 more Smart Citations

The Sexual Acceptability of Contraception: Reviewing the Literature and Building a New Concept

Higgins

Smith

2016

The Journal of Sex Research

175

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How contraceptives affect women’s sexual well-being is critically understudied. Fortunately, a growing literature focuses on sexual aspects of contraception, especially hormonal contraception’s associations with libido. However, a more holistic approach to contraceptive sexual acceptability is needed to capture the full range of women’s sexual experiences. We conducted a narrative literature review of this topic, working with an original sample of 3,001 citations published from 2005 to 2015. In Part 1, we draw from a subset of this literature (264 citations) to build a new conceptual model of sexual acceptability. Aspects include macro factors (gender, social inequality, culture, and structure), relationship factors (dyadic influences and partner preferences), and individual factors (sexual functioning, sexual preferences, such as dis/inhibition, spontaneity, pleasure, the sexual aspects of side effects, such as bleeding, mood changes, sexual identity and sexual minority status, and pregnancy intentions). In Part 2, we review the empirical literature on the sexual acceptability of individual methods (103 citations), applying the model as much as possible. Results suggest contraceptives can affect women’s sexuality in a wide variety of positive and negative ways that extend beyond sexual functioning alone. More attention to sexual acceptability could promote both women’s sexual well-being and more widespread, user-friendly contraceptive practices.

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Section: Higgins and Smithmentioning

confidence: 99%

Section: Higgins and Smithmentioning

confidence: 99%

Section: Higgins and Smithmentioning

confidence: 99%

Section: Combined Hormonal Vaginal Ringmentioning

confidence: 99%

See 2 more Smart Citations

The Sexual Acceptability of Contraception: Reviewing the Literature and Building a New Concept

Higgins

Smith

2016

The Journal of Sex Research

175

View full text Add to dashboard Cite

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“…Perceived advantages of the method include high rates of efficacy, menstrual cycle control, a nondaily dosing schedule, relatively low drug doses and high user acceptability; disadvantages include changes in vaginal discharge, involuntary ring expulsions, and discomfort during insertion or when engaging in sex . In a sample of adolescents, willingness to try the ring was positively associated with such factors as comfort with touching one's genitals, and negatively associated with concerns about the ring falling out of the vagina or getting lost in the body . Despite the generally positive evaluations the ring has received in many studies, data from a national U.S. sample revealed that in 2014, the ring was the most effective method used in the past month for only 2% of female contraceptive users…”

mentioning

confidence: 99%

A Qualitative Systematic Review of Women's Experiences Using Contraceptive Vaginal Rings: Implications for New Technologies

Vargas

Midoun

Guillen

et al. 2019

Perspect Sexual Reproductive

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CONTEXT Vaginal rings are available for contraception and hormone replacement, and are being developed as HIV/STD or multipurpose prevention technologies. A comprehensive understanding of women's expectations of and experiences with rings is urgently needed to inform product development and to optimize ring use. METHODS Three databases (PubMed, Global Health and CINAHL) were searched for English‐language, peer‐reviewed articles published between January 1996 and November 2017 that reported qualitative data on barriers to and facilitators of use of female‐controlled contraceptive methods. Data on study methods, findings and conclusions pertaining to contraceptive rings were extracted, organized and analyzed. RESULTS Twenty‐six articles, all published since 2008, met the inclusion criteria. Seven studies focused largely or entirely on rings (and involved current, former or potential users), while the others focused on other contraceptive methods but included ring‐specific data. Familiarity with the ring was low, and women commonly had initial concerns about the method—often related to insertion and removal, cleanliness and discomfort with touching their vagina—that were typically overcome over time. Other major themes were issues related to ring use and discontinuation, the importance of ring‐related properties and characteristics, and considerations related to sexual partners and health care providers. CONCLUSIONS Qualitative data have the potential to inform ring design and promotion. Future research should further explore women's expectations and experiences with the ring, the value of involving male partners in ring evaluation, and evaluation of interventions to improve patient–provider communication concerning ring choice and use.

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Hormonal Therapy for Heavy Menstrual Bleeding

Baldwin

Bercaw-Pratt

2020

Hematology in the Adolescent Female

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Acceptability of the Vaginal Contraceptive Ring Among Adolescent Women

Cited by 23 publications

References 35 publications

The Sexual Acceptability of Contraception: Reviewing the Literature and Building a New Concept

The Sexual Acceptability of Contraception: Reviewing the Literature and Building a New Concept

A Qualitative Systematic Review of Women's Experiences Using Contraceptive Vaginal Rings: Implications for New Technologies

Hormonal Therapy for Heavy Menstrual Bleeding

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