Does body mass index or weight perception affect contraceptive use?

Bhuva, K.; Kraschnewski, Jennifer L.; Lehman, Erik; Chuang, Cynthia H.

doi:10.1016/j.contraception.2016.09.003

Cited by 19 publications

(18 citation statements)

References 17 publications

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“…Contraceptive pills have not been associated with weight gain and mood changes. It is recommended to take single-phase pills in teenagers for their menstrual bleeding disorders [51][52][53][54][55].…”

Section: Contraceptive Pillsmentioning

confidence: 99%

Causes of Visiting Teenagers in the Pediatric and Adolescence Examining Room

Tsikouras¹,

Deftereou²,

AnnaChalkidou³

et al. 2018

Family Planning

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Adolescence is the transitional period between childhood and adulthood. Depending on female gonads' function and on hypothalamic-pituitary-ovarian axis activation, results in teenager's body growth, in secondary sex characteristics' development and finally in their reproductive potential. In adolescence, the negative feedback of gonadal steroids on gonadotropins is disturbed. Teenagers presenting with dysfunctional bleedings are usually suspected of hemorrhagic ovarian cysts or endometriosis and require gynecologic examination, evaluation, and hormone therapy. It is of great importance both for teenagers and their parents to understand that hormone therapy is the first line treatment for bleeding disorders in these ages. A detailed medical history is necessary to determine the appropriate treatment plan. Primary care includes the detection of adolescents with acute or chronic pelvic pain that may be associated with endometriosis or other pathologies like mullerian duct abnormalities, imperforate hymen, ovarian teratomas, ovarian torsion, and vaginal absence or atresia. Mullerian duct abnormalities are associated with increased rates of unexplained infertility, spontaneous abortions, and pathological conditions of pregnancy. Specialists, should help teenagers in getting familiar to their bodies, to their sexuality, inform them about the sexually transmitted diseases, and safety options including vaccination and guide them in contraception issues.

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Section: Contraceptive Pillsmentioning

confidence: 99%

Causes of Visiting Teenagers in the Pediatric and Adolescence Examining Room

Tsikouras¹,

Deftereou²,

AnnaChalkidou³

et al. 2018

Family Planning

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“…Fewer than half of the reviewed articles provided insight on women’s knowledge, attitudes towards, and beliefs about contraception (n = 11). When making contraceptive decisions, women with higher BMIs may consider ease of use [ 54 ] and side effect profile [ 46 , 57 , 64 ]. For instance, a study by Chuang et al [ 64 ] revealed that women with higher BMIs expressed concerns about potential weight gain associated with hormonal methods of contraception.…”

Section: Resultsmentioning

confidence: 99%

Women in larger bodies’ experiences with contraception: a scoping review

Boyce

Neiterman

2021

Reprod Health

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Background As the prevalence of obesity increases and the age of onset decreases, more women of reproductive age will be living in larger bodies. Research on weight-related efficacy and safety has informed clinical guidelines for routine and emergency contraceptive use by women with a higher body mass index; however, patient perspectives are needed to understand women in larger bodies’ experiences with contraception and contraceptive care. This scoping review summarizes the literature on women in larger bodies’ experiences with contraception with the goal of gaining a better understanding of the nature of these experiences and identifying gaps in the existing research. Methods Following Arksey and O’Malley’s framework, a scoping review of the literature was conducted. Four databases (PubMed, PsycINFO, SCOPUS, and CINAHL) were searched for peer-reviewed, empirical articles published in English between 2010 and 2020, with a focus on North America, Europe, Australia, and New Zealand. Data were summarized by identifying key themes in the reviewed literature. Results Twenty-nine articles meeting the eligibility criteria were reviewed. The literature was predominantly quantitative (n = 27), with only one qualitative study and one systematic review, respectively. Five themes were identified, including (1) use of contraception among women in larger bodies; (2) knowledge, attitudes towards and beliefs about contraception; (3) contraceptive (dis)satisfaction among women in larger bodies; (4) contraceptive counseling; and (5) barriers to contraception. The findings revealed that women in larger bodies may have unmet contraceptive care needs. Despite many articles addressing the need to improve contraceptive counseling for women in larger bodies (n = 26), few explored how women felt about their care (n = 2). Finally, only two articles focused on emergency contraception, indicating a need for further research. Conclusion This scoping review emphasizes the pressing need for qualitative research to explore women in larger bodies’ experiences with routine and emergency contraception, as well as receiving contraceptive counseling and care. Future research exploring the lived experiences of women in larger bodies is necessary to better characterize their contraceptive needs and identify avenues to improve patient care.

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“…All of the above complications and especially hypertension are more common in obese teens. Concerning the use of contraception in obese patients, it should be mentioned that there is contraceptive protection regardless of the BMI size (lower rates of undesirable pregnancies) [ 27 , 28 ].There is limited and unclear information concerning the use of oral contraceptives in obese patients. The risk of deep vein thrombosis in obese patients is doubled.…”

Section: Discussionmentioning

confidence: 99%

“…The risk of deep vein thrombosis in obese patients is doubled. However, the additional absolute risk of venous thrombosis following the use of combined low-dose contraceptives is rather limited and certainly less than the corresponding risk due to pregnancy and periodontal disease [ 27 , 28 , 29 , 30 ].…”

Section: Discussionmentioning

confidence: 99%

Ten Years of Experience in Contraception Options for Teenagers in a Family Planning Center in Thrace and Review of the Literature

Tsikouras

Deuteraiou

Bothou³

et al. 2018

IJERPH

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Introduction: The goal of our study was to investigate and evaluate the contraceptive behavior in teenagers from our family planning centre that services two different religious and socioeconomic populations living in the Thrace area. Methods: During the last 10 years 115 Christian Orthodox (group A) and 53 Muslim teenagers (group B) were enrolled in our retrospective study. Contraceptive practice attitudes were assessed by a questionnaire. Religion, demographics, socio-economic characteristics were key factors used to discuss contraception and avoid unplanned pregnancy in each group and to compare with the contraceptive method used. Results: The most used contraceptive method—about two times more frequently—among Christian Orthodox participants was the oral contraceptive pill (p = 0.015; OR = 1.81, 95% CI = 1.13–2.90), while in the other group the use of condoms and IUDs was seven and three times more frequent, respectively. Our family planning centre was the main source of information for contraception. Conclusions: During adolescence, the existence of a family planning centre and participation in family planning programs plays a crucial role to help the teenagers to improve their knowledge and choose an effective contraception method.

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Does body mass index or weight perception affect contraceptive use?

Cited by 19 publications

References 17 publications

Causes of Visiting Teenagers in the Pediatric and Adolescence Examining Room

Causes of Visiting Teenagers in the Pediatric and Adolescence Examining Room

Women in larger bodies’ experiences with contraception: a scoping review

Ten Years of Experience in Contraception Options for Teenagers in a Family Planning Center in Thrace and Review of the Literature

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