Misconceptions about the side effects of combined oral contraceptive pills

Küçük, Mert; Aksu, Hilmiye; Sezer, Selda Demırcan

doi:10.3109/09513590.2011.613502

Cited by 11 publications

(11 citation statements)

References 22 publications

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“…If the beliefs are around delayed infertility, how long after stopping contraception do women believe fertility will return? Prior studies have measured infertility in the following ways: “Contraceptives can harm a woman’s womb.” [ 12 ] “Combined oral contraception pills cause infertility.” [ 9 ] “Using medical methods of family planning can cause women to become infertile.” [ 43 ] “If I begin using a family planning method, I’m afraid I won’t be able to get pregnant after that—even when I want to.” [ 30 ] …”

Section: Discussionmentioning

confidence: 99%

“…Common contraception-related health concerns include the belief that contraception may cause cancer, change menstrual bleeding, promote weight gain, and result in infertility [ 9 – 11 ]. The belief that using contraception causes infertility has been reported both qualitatively and quantitatively as one of the primary reasons for not using long-acting contraception in Northern Ethiopia [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

“…This belief also reaches beyond Africa. Studies in the United States [ 14 , 15 ], Guatemala [ 16 ], Turkey [ 9 ], Bangladesh [ 17 , 18 ], and Vietnam [ 19 ] reported that this fear is a barrier to contraception use. A systematic review of barriers to contraception use among young people in low to middle income countries reported that the belief that contraception use would cause infertility was the most cited reason for non-use [ 20 ].…”

Section: Introductionmentioning

confidence: 99%

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If fear of infertility restricts contraception use, what do we know about this fear? An examination in rural Ethiopia

Sedlander

Yilma

Emaway³

et al. 2022

Reprod Health

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Background Ethiopia has made great progress toward reducing unmet need for family planning and increasing contraception use over the last decade. However, almost one-quarter of women still have an unmet need. The primary reason for non-use is “method-related health concerns” and, within this broad category, the belief that using contraception will cause infertility is common. This belief extends beyond Ethiopia to low-, middle-, and high-income countries across the world. The objective of this paper is to examine associations with the belief that contraception use causes infertility and to subsequently suggest potential strategies to address this misperception. Methods We collected data from women of reproductive age (between 15 and 49 years old) in 115 rural districts of Ethiopia (n = 706). Our main outcome variable was the belief that contraception causes infertility. We analyzed data, both individual-level factors and interpersonal factors, using nested logistic regression models. Results Almost half of women in our sample (48.2%) believed that contraceptive use causes infertility. In the final model that included factors from both levels, self-efficacy to use contraception (AOR = 0.81, p < 0.05), visiting a health center and speaking to a provider about family planning in the last 12 months (AOR = 0.78, p < 0.05), and husband support of contraception (AOR = 0.77, p < 0.01) were associated with a reduction in the odds of believing that contraception causes infertility. The belief that infertility will result in abandonment from one’s husband (AOR = 3.06, p < 0.001) was associated with an increase in the odds of holding the belief that contraception causes infertility. A home visit in the last 12 months from a health worker who discussed family planning was not associated with the belief that contraceptive use causes infertility. Conclusions Given that this belief is both salient and positively associated with other fears such as abandonment from one’s husband, it is critical for family planning programs to address it. Communication campaigns or interventions that address this misperception among couples may diminish this belief, thereby increasing contraception use and reducing unmet need in rural Ethiopia.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

If fear of infertility restricts contraception use, what do we know about this fear? An examination in rural Ethiopia

Sedlander

Yilma

Emaway³

et al. 2022

Reprod Health

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“…The progesterone may promote the mitotic process and cause atypia. It is known that the mitotic action on MCF-7 cells of human breast cancer of 19 nor-progestogen (norethindrone, gestodene, and 3-ketodesogestrel) [56][57][58][59][60].…”

Section: Positive Actionsmentioning

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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“…Effects. Women's concerns about side effects loom large in their experiences of and preferences for contraceptive methods (Frost, Singh, & Finer, 2007a, 2007bLessard et al, 2012;O'Sullivan, Cooper-Serber, Kubeka, & Harrison, 2007;Osei et al, 2014), whether or not these perceptions of side effects are misperceptions (Küçük, Aksu, & Sezer, 2012). "Lack of side effects" was one of the top contraceptive features preferred by women at high risk for unintended pregnancy (Lessard et al, 2012).…”

Section: Sexual Repercussions Of Seemingly Nonsexual Sidementioning

confidence: 99%

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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Misconceptions about the side effects of combined oral contraceptive pills

Abstract: The present study has shown that misconceptions about the side effects of COCPs were considerably prevalent among this cohort group of Turkish women. Healthcare professionals have the potential of playing an important role in dispersing these misconceptions.

Cited by 11 publications

References 22 publications

If fear of infertility restricts contraception use, what do we know about this fear? An examination in rural Ethiopia

If fear of infertility restricts contraception use, what do we know about this fear? An examination in rural Ethiopia

Causes of Visiting Teenagers in the Pediatric and Adolescence Examining Room

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

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