Contraceptive use and discontinuation: Findings from the contraceptive history, initiation, and choice study

Huber, Larissa R. Brunner; Hogue, Carol J.; Stein, Aryeh D.; Drews, Carolyn; Zieman, Mimi; King, Joyce; Schayes, S.

doi:10.1016/j.ajog.2005.11.039

Cited by 76 publications

(20 citation statements)

References 15 publications

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“…In one paper14 the authors reported two specific reasons for discontinuation of either condoms or OCs (‘not having sex’ and ‘trying to get pregnant’), and remaining reasons were all gathered into the category ‘other’. The women were given the opportunity to elaborate in more detail on their reasons.…”

Section: Resultsmentioning

confidence: 99%

Does research into contraceptive method discontinuation address women's own reasons? A critical review

Inoue

Barratt

Richters

2015

J Fam Plann Reprod Health Care

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ObjectiveTo examine the clinical and epidemiological literature addressing contraceptive method change or discontinuation and to assess whether the documented reasons reflected women's experiences.MethodsMajor databases including Medline and PsycINFO were searched using keywords related to contraception and discontinuation, adherence and satisfaction, for articles published between January 2003 and February 2013. Studies in developed countries that focused on women of reproductive age and reasons for method change or discontinuation were included. Reasons reported were categorised and examined.ResultsA total of 123 papers were reviewed in detail. Medical terminology was generally used to describe reasons for method discontinuation. The top two reported reasons were bleeding and pregnancy, but there was a lack of consensus about the categorisation of reasons. Broad categories that were not self-explanatory were included in more than half of the papers, often without further explanation. Only 12 studies expanded on categories containing ‘other’, ‘non-medical’ or ‘personal’ reasons. Eight papers included categories that attributed discontinuation to the participant, such as ‘dissatisfied with method’.ConclusionsStudies of reasons for discontinuation of contraceptives do not well describe women's specific reasons. Studies rely heavily on medical terms and often fail to document women's subjective experiences. Future studies should create an opportunity for women to articulate their non-medical reasons in their own words, including those related to their sexual lives. Furthermore, researchers should distinguish, if possible, between reasons for discontinuation of a method and reasons for ceasing participation in a research study.

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Section: Resultsmentioning

confidence: 99%

Does research into contraceptive method discontinuation address women's own reasons? A critical review

Inoue

Barratt

Richters

2015

J Fam Plann Reprod Health Care

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“…This applies, for example, to side effects such as weight gain. Research in Europe and the United States suggests that side effects are the main reason why women discontinue use of OC 39 . Worryingly, most women who discontinue use of OCs switch to a less effective method of contraception including withdrawal in some cases 39 .…”

Section: G E N E R a L Discussion A N D I M P L I C A T I O mentioning

confidence: 98%

“…Research in Europe and the United States suggests that side effects are the main reason why women discontinue use of OC 39 . Worryingly, most women who discontinue use of OCs switch to a less effective method of contraception including withdrawal in some cases 39 . What seemed to be lacking in the current analysis was an awareness of hormonal contraceptive alternatives, such as the POP or hormonal injections.…”

Section: G E N E R a L Discussion A N D I M P L I C A T I O mentioning

confidence: 98%

A qualitative analysis of accounts of hormonal contraceptive use: Experiences and beliefs of British adolescents

Brown

Arden

Hurst

2007

The European Journal of Contraception & Reproductive Health

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“…Studies that have investigated the body size-sexual frequency association have had inconsistent findings [20,22–26]. Some studies have found that obese and overweight women reported a lower monthly frequency of sexual intercourse compared to their normal weight counterparts [22,25], while others have found that (body mass index) BMI is not significantly associated with frequency of sexual intercourse [23, 24, 26]. A number of these prior studies of sexual function and frequency have had limited generalizability to US populations due to the use of restrictive age ranges (e.g.…”

Section: Introductionmentioning

confidence: 99%

No association between body size and frequency of sexual intercourse among oral contraceptive users

Huber

Stanley

Broadhurst

et al. 2014

Annals of Epidemiology

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Purpose This study aimed to describe frequency of sexual intercourse and whether body size was associated with weekly sexual intercourse among a diverse group of women using oral contraceptives. Methods This longitudinal, prospective cohort study recruited participants (n=185) from several clinics in Charlotte, NC. Body mass index (BMI) and waist-to-hip ratio (WHR) were used as measures of body size and sexual intercourse frequency was determined from self-reported information provided on daily diaries. Mean monthly frequencies of sexual intercourse were calculated and linear mixed models were used to assess if means remained constant over time. Generalized estimating equations were used to calculate odds ratios (ORs) and 95% confidence intervals (CIs). Results Mean monthly frequency of sexual intercourse was similar for women classified as normal/underweight or obese by BMI during each month of data collection, but was highest for women classified as overweight. After adjustment, obesity-sexual intercourse associations were attenuated (BMI ≥30 vs. <25.0: OR=0.78, 95% CI: 0.43, 1.42 and WHR ≥0.85 vs. <0.85: OR=1.11; 95% CI: 0.62, 2.01). Conclusions This study found no association between BMI or WHR and weekly sexual intercourse. However, more research is warranted given the importance of this possible relationship for future studies of fertility, contraceptive effectiveness, and sexual health.

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Contraceptive use and discontinuation: Findings from the contraceptive history, initiation, and choice study

Cited by 76 publications

References 15 publications

Does research into contraceptive method discontinuation address women's own reasons? A critical review

Does research into contraceptive method discontinuation address women's own reasons? A critical review

A qualitative analysis of accounts of hormonal contraceptive use: Experiences and beliefs of British adolescents

No association between body size and frequency of sexual intercourse among oral contraceptive users

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