Necessity of Education for Oral Contraceptive Use in Korea: Results from the Fourth Korean National Health and Nutrition Examination Survey 2007-2009

Lee, Jung‐Yun; Park, Sang Min; Ko, Young Jin; Song, Yong Sang

doi:10.1159/000351106

Cited by 5 publications

(4 citation statements)

References 22 publications

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“…However, many Koreans are reluctant to take hormonal pills for a long duration, and they tend to show deteriorating compliance to treatment because of cultural bias against OCs. 11,12 Therefore, there is a need for another long-term hormonal treatment that can be maintained with better patient compliance.…”

Section: Introductionmentioning

confidence: 99%

Postoperative Levonorgestrel-Releasing Intrauterine System Insertion After Gonadotropin-Releasing Hormone Agonist Treatment for Preventing Endometriotic Cyst Recurrence: A Prospective Observational Study

et al. 2018

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The aim of this study was to evaluate the effectiveness of postoperative levonorgestrel-releasing intrauterine system (LNG-IUS) insertion after gonadotropin-releasing hormone agonist (GnRH-a) treatment for preventing endometriotic cyst recurrence. Study Design: The LNG-IUS was applied to 28 women who had undergone surgery for endometriosis followed by 6 cycles of GnRH-a treatment. Clinical characteristics, endometriosis recurrence, and adverse effects were analyzed. Student t test was performed for analysis. Results: Before surgery, 20 (71.4%) patients had dysmenorrhea, and the mean pain score (visual analog scale [VAS]) was 4.26. The numbers of women diagnosed with stage III endometriosis and stage IV endometriosis were 15 (53.6%) and 13 (46.4%), respectively, according to the revised American Fertility Society scoring system. The mean cancer antigen 125 levels and VAS scores were significantly lower after treatment than before treatment (11.61 vs 75.66 U/mL, P < .0001 and 0.50 vs 4.26 U/mL, P < .0001, respectively). Of the 28 patients, 13 (46.4%) simultaneously had adenomyosis, and 2 (7.1%) underwent LNG-IUS removal because of unresolved vaginal bleeding and dysmenorrhea. Recurrence was noted in 2 (7.1%) women. Conclusion:Postoperative LNG-IUS insertion after GnRH-a treatment is an effective approach for preventing endometriotic cyst recurrence, especially in women who do not desire to conceive.

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Section: Introductionmentioning

confidence: 99%

Postoperative Levonorgestrel-Releasing Intrauterine System Insertion After Gonadotropin-Releasing Hormone Agonist Treatment for Preventing Endometriotic Cyst Recurrence: A Prospective Observational Study

et al. 2018

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“…These results suggest that although preabortion counseling can improve COC use in the immediate postabortion period, it does not improve the continued use rate. A study in Korea showed that education programs for COC use are necessary to improve knowledge about the correct use of COCs and their contraindications [25] . A systematic review by Halpern et al [26] indicated that a combination of intensive counseling and multiple contacts and reminders during follow-up may be needed to improve adherence and acceptability of COC use.…”

Section: Discussionmentioning

confidence: 99%

Acceptance and Continuation of Contraceptive Methods Immediate Postabortion

Hou

Zhu²,

Li³

et al. 2016

Gynecol Obstet Invest

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Background/Aims: Providing preabortion contraceptive counseling for the method of contraception may reduce the incidence of repeat abortions. This study aimed to compare the acceptance and continuation rates of intrauterine devices (IUDs), combined oral contraceptives (COCs), and condom use after abortion in women who received preabortion contraceptive counseling. Methods: Women seeking a first-trimester abortion prospectively received preabortion contraceptive counseling and the choice of method of contraception was based on the counseling and not related to prior methods of birth control. Outcomes included continuation of postabortion contraceptive use and repeat abortions over a 6-month follow-up period. Results: Four hundred and fifty-five women (IUD group: n = 161; COC group: n = 149; condom group: n = 135) completed 6-month follow-up after the abortions. At the sixth month follow-up, patients continued using the IUD, COC, and condoms for contraception were 64.2, 10, and 51.5%, respectively. Higher age, being married, parity ≥1, and previous abortion were factors that were associated with more frequent selection of an IUD, while a higher education level was associated with a more frequent selection of COC and condoms. Conclusion: The continued use of COCs after abortion is low even with preabortion contraceptive counseling. The IUD offers reliable birth control with a lower discontinuation rate than COCs or condoms.

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“…Because girls who get pregnant commonly undergo an induced abortion or leave school, contraception in adolescents should be addressed with high priority. Nevertheless, there have been very few studies evaluating the status of contraceptive use during adolescence in Korea [56], which is an important process in order to develop interventions for enhancing contraceptive use among adolescents.…”

Section: Introductionmentioning

confidence: 99%

Recent trends in contraceptive use among Korean adolescents: Results from a nationwide survey from year 2013 to 2015

et al. 2016

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ObjectiveThis study was aimed to evaluate the recent trends in contraceptive use among Korean adolescents.MethodsData reviewed were from the 2013–2015 Korean Youth Risk Behavior Web-based Survey, which is a stratified, multistage-sampling designed online-based research project performed annually by the Korean government to ensure a nationally representative sample of Korean adolescence. Eight questions related to the topic of contraception were reviewed for the outcome variables.ResultsA total of 212,538 adolescents attending middle school and high school participated in the survey, and 8,755 students among them who were sexually active were included in the study. The percentage of contraceptive use showed a steady increase from 39% in 2013 to 48.7% in 2015; however, the proportion of adolescents who have never used any kind of contraception still remains high. Highly effective methods such as oral contraceptives and intrauterine devices were used by only 10% to 15% of sexually active adolescents.ConclusionThe present study demonstrates the status of contraceptive use among Korean adolescents. Our data have the potential to help healthcare providers to formulate policies and develop interventions for encouraging effective contraceptive use among sexually active Korean adolescents.

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Necessity of Education for Oral Contraceptive Use in Korea: Results from the Fourth Korean National Health and Nutrition Examination Survey 2007-2009

Cited by 5 publications

References 22 publications

Postoperative Levonorgestrel-Releasing Intrauterine System Insertion After Gonadotropin-Releasing Hormone Agonist Treatment for Preventing Endometriotic Cyst Recurrence: A Prospective Observational Study

Postoperative Levonorgestrel-Releasing Intrauterine System Insertion After Gonadotropin-Releasing Hormone Agonist Treatment for Preventing Endometriotic Cyst Recurrence: A Prospective Observational Study

Acceptance and Continuation of Contraceptive Methods Immediate Postabortion

Recent trends in contraceptive use among Korean adolescents: Results from a nationwide survey from year 2013 to 2015

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