Clinical experience with the combined contraceptive vaginal ring in Switzerland, including a subgroup analysis of previous hormonal contraceptive use

Merki‐Feld, Gabriele S.; Hund, Martin

doi:10.3109/13625187.2010.524717

Cited by 20 publications

(14 citation statements)

References 18 publications

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“…Studies documenting acceptability and / or satisfaction of NuvaRing ® commonly used structured questionnaires assessing the following similar dimensions: clarity of instructions; ease of use (including to insert/remove the ring); ease of package use; compliance or adherence (including removals and spontaneous expulsions); cycle related characteristics (menstrual changes or pain); sexual comfort (whether the ring was felt by the woman or the male partner or whether the partner objected to the ring, without investigating sexual frequency, pleasure or satisfaction) and overall satisfaction. These seven dimensions were included in a validated 21item questionnaire by Novak et al (54) and subsequently used in other studies (20,(30)(31)(32)36,37,47). The ORTHO-BC-SAT satisfaction questionnaire related to the use of hormonal contraception in general and including eight dimensions similar to Novack et al questionnaire was used in one CVR study (18).…”

Section: Nuvaring ®mentioning

confidence: 99%

Acceptability and satisfaction of contraceptive vaginal rings in clinical studies: a systematic review and narrative synthesis

Delvaux

Jespers

Beňová

et al. 2021

Preprint

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Introduction Acceptability of and satisfaction with contraceptive methods are paramount for uptake and continuation. In the current context of multipurpose prevention of pregnancy and sexually transmitted diseases /HIV development, it is critical to have a better understanding of acceptability of and satisfaction with the contraceptive vaginal ring (CVR), including sexual satisfaction. The objective of this study was to review the evidence about CVRs acceptability, and users general and sexual satisfaction. Methods We searched PubMed, CINAHL and Web of Science (until December 31th, 2020) and selected original studies documenting actual use of hormonal CVR and explicitly addressing any of the three outcomes. Main Results Of a total of 1129 records screened, 46 studies were included. Most studies (n=43, 93%) were prospective, conducted in high-income settings (n=35) and reported on NuvaRing use (n=31). Overall, 27 (59%) studies included a comparison group, 38 (82%) used exclusively quantitative questionnaires, with qualitative only (n=4, 9%) or mixed methods (n=4, 9%) studies being less common. Ease of CVR insertion/removal/reinsertion was high in all setting and improved with time of use, with qualitative studies supporting these findings. When reported, results on continuation of use were mixed and ring-related events were associated with discontinuation. Among NuvaRing studies, general satisfaction (being satisfied or very satisfied) was between 80 and 90% and tended to mirror continuation. Sexual satisfaction was less commonly reported and results were mixed. Overall, limited information was provided on actual CVR experiences of women (and men) and cultural norms that may affect sexuality and CVR use. Conclusion Positive aspects of acceptability of and satisfaction with CVRs were reported but continuation rates and ring-related events deserve further study. More information is needed on actual experiences of women using CVRs, relationship aspects, male partner opinions, and contextual norms to better understand the acceptability of and satisfaction with CVRs.

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Section: Nuvaring ®mentioning

confidence: 99%

Acceptability and satisfaction of contraceptive vaginal rings in clinical studies: a systematic review and narrative synthesis

Delvaux

Jespers

Beňová

et al. 2021

Preprint

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“…The first of these studies (in chronological order) was a Spanish study. 34 Subsequently, two Swiss studies, 35,36 a German study, 37 and a Czech study 38 have been published. These five studies collected data from new vaginal ring users.…”

Section: Beneficial Noncontraceptive Effects Effect On Dysmenorrheamentioning

confidence: 99%

“…In a Spanish study, 94.8% of the women who sought medical attention for premenstrual symptoms requiring pharmacological treatment were prescribed CHC. 45 Given that the mechanism of action of the vaginal ring is the same as the COC (ie, inhibition of ovulation), the five European studies mentioned above [34][35][36][37][38] …”

Section: Improvement In Premenstrual Symptomsmentioning

confidence: 99%

Efficacy, safety, and patient acceptability of the etonogestrel and ethinyl estradiol vaginal ring

Lete¹,

Arrilucea²,

Rodríguez³

et al. 2014

OAJC

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Abstract:The contraceptive vaginal ring (CVR) is a combined hormonal contraceptive method, containing ethinyl estradiol and etonogestrel, that works by inhibiting ovulation. It differs from combined oral contraceptives (COCs) in the route of administration, which is vaginal, and the frequency of administration, which is monthly. The efficacy of the CVR is similar to that of COCs but compliance appears to be better in typical users. The CVR enables appropriate control of the menstrual cycle, with a similar side effect profile to COCs, while achieving good user acceptance. Different studies have established noncontraceptive beneficial effects of the CVR; for example, it can be useful for treating dysmenorrhea or excess menstrual bleeding. Recent epidemiological studies have confirmed that the risk of venous thromboembolism with the CVR is similar to that of COCs, including COCs that contain levonorgestrel.

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“…All effects are reversed upon discontinuation . VR is a very effective contraceptive . A continuation rate at 3 months of 80% has been reported .…”

Section: Introductionmentioning

confidence: 96%

“…A continuation rate at 3 months of 80% has been reported . Studies show that the most important reason for continued VR use was route of administration , whereas interference with intercourse or ring expulsion was the main reason for discontinuation .…”

Section: Introductionmentioning

confidence: 99%

Prevalence of combined contraceptive vaginal rings in Norway

Skipenes

Skjeldestad

2016

Acta Obstet Gynecol Scand

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Clinical experience with the combined contraceptive vaginal ring in Switzerland, including a subgroup analysis of previous hormonal contraceptive use

Abstract: The data support previous findings that the vaginal ring improves cycle-related symptoms (moderate or severe PMS, dysmenorrhoea, and menstrual headache). Not only starters experienced improvements in symptoms; switchers also benefited.

Cited by 20 publications

References 18 publications

Acceptability and satisfaction of contraceptive vaginal rings in clinical studies: a systematic review and narrative synthesis

Acceptability and satisfaction of contraceptive vaginal rings in clinical studies: a systematic review and narrative synthesis

Efficacy, safety, and patient acceptability of the etonogestrel and ethinyl estradiol vaginal ring

Prevalence of combined contraceptive vaginal rings in Norway

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