Oral contraceptive discontinuation: A prospective evaluation of frequency and reasons

Rosenberg, Michael J.; Waugh, Michael S.

doi:10.1016/s0002-9378(98)70047-x

Cited by 394 publications

(230 citation statements)

References 9 publications

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Section: Introductionmentioning

confidence: 99%

“…Oral contraceptive pills (OCPs) remain the most common method of hormonal contraception used by adolescents [2]. However the need for daily compliance and the occurrence of side effects can lead to method discontinuation [3].The vaginal ring (NuvaRing®, Organon Pharmaceuticals USA), a hormonal contraceptive introduced in 2001, offers adolescents a novel contraceptive option. The ring is self-inserted into the vagina and is left in place for 21 days per cycle followed by a 7-day ring-free period.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Adolescent Experiences with the Vaginal Ring

Epstein¹,

Sokal-Gutierrez²,

Ivey³

et al. 2008

Journal of Adolescent Health

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Purpose-To understand racial/ethnic minority adolescent females' experiences with the vaginal ring.Methods-We conducted in-depth interviews with a clinic-based sample of 32 young women aged 15-24 years who had used the vaginal ring.Results-Qualitative analysis using grounded theory revealed that adolescents undergo a multistage process when trying the ring and adopting ring use. These stages include hearing about the ring, initial reactions, first experiences with insertion and removal, and first sexual experiences. Adolescents subsequently enter an assessment and adjustment stage in which they decide whether to adopt or discontinue ring use. Ultimately they share their experiences with friends. Conclusions-The model developed provides a context within which providers may advise adolescents as they begin use of the ring. Some specific recommendations are offered. KeywordsVaginal ring; adolescence; Adolescent; Contraception; Reproductive health; Qualitative Unintended pregnancy-a major public health problem in the United Statesdisproportionately affects young, unmarried, low-income, and racial/ethnic minority women [1]. Oral contraceptive pills (OCPs) remain the most common method of hormonal contraception used by adolescents [2]. However the need for daily compliance and the occurrence of side effects can lead to method discontinuation [3].The vaginal ring (NuvaRing®, Organon Pharmaceuticals USA), a hormonal contraceptive introduced in 2001, offers adolescents a novel contraceptive option. The ring is self-inserted into the vagina and is left in place for 21 days per cycle followed by a 7-day ring-free period. Effectiveness is not compromised if the ring is removed for less than 3 hours. The ring releases ethinyl estradiol and etonogestrel, a progestin similar to that found in OCPs.

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Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

Adolescent Experiences with the Vaginal Ring

Epstein¹,

Sokal-Gutierrez²,

Ivey³

et al. 2008

Journal of Adolescent Health

View full text Add to dashboard Cite

show abstract

“…While adherence has been shown to be better among users of the contraceptive patch than the pill, studies of the ring have yielded inconsistent results [4][5][6]. Poor adherence to these methods may lead to reduced protection against unintended pregnancy and increased likelihood of unscheduled bleeding; while such bleeding is not directly harmful to the woman, it may lead to discontinuation or complete cessation of use and thus a gap in contraceptive protection [7,8]. Due to the more frequent and self-administered dosing required for OCPs, patches and rings as compared with longer-acting methods, enhanced diligence is needed for correct and consistent use of these hormonal methods.…”

Section: What Are the Most Effective Approaches To Improve Patient Anmentioning

confidence: 99%

Evidence-based guidance on selected practice recommendations for contraceptive use: identification of research gaps

et al. 2013

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“…2 Coitus interruptus and condoms are two reversible and non-hormonal methods of contraception to engage men in family planning. 3 As the oldest contraceptive method, coitus interruptus is estimated to be used by 85 million couples in different communities around the world. 4 Although this method is not officially part of the family planning programs in Iran, it is used as a popular method by 17.5% of people in the whole country.…”

Section: Introductionmentioning

confidence: 99%

The relationship of male condoms and withdrawal contraceptive methods with female sexual function and satisfaction: a cross sectional study

Tadayon

Honarjoo

Abbaspoor

2016

Int J Reprod Contracept Obstet Gynecol

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Background: Men's participation is an important issue in family planning and reproductive health. Coitus interruptus and condom use are two reversible and non-hormonal methods of contraception to engage men in family planning. The present study is aimed to evaluate the relationship of male condom use and withdrawal as contraception with female sexual function and satisfaction. Methods: A cross-sectional study was conducted on 215 married women aged 15-45 years in Ahvaz. Necessary data were collected using three demographic, female sexual function index (FSFI), and female sexual satisfaction questionnaires. The data were analyzed using SPSS software version 22 and descriptive and analytical tests (independent t-test and Pearson's and Spearman's correlation coefficients) were used. A P level of less than 0.05 was considered significant. Results: Although there was no significant difference in the areas of sexual desire (p=0.31), sexual arousal (p=0.18), vaginal lubrication (p=0.63), and pain (p=0.06) between two groups, but significant differences were found between the areas of orgasm (p=0.004), sexual satisfaction (p=0.009) and overall sexual function index (p=0.04) in both groups, which were higher in the condoms-used group. There was a significant direct relationship between female sexual function index and satisfaction in the condom method (p=0.001, r=0.48) and the withdrawal method (p=0.001, r=0.38). Conclusions: Female sexual function and satisfaction in the users of male condoms is higher than the withdrawal method of contraception, while significant direct relationship was found between female sexual function and satisfaction in both methods. For a more detailed conclusion on female sexual function and satisfaction of users of these methods, longitudinal studies are suggested to be done by performing follow-up periods before, during and after cessation of method.

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Oral contraceptive discontinuation: A prospective evaluation of frequency and reasons

Cited by 394 publications

References 9 publications

Adolescent Experiences with the Vaginal Ring

Adolescent Experiences with the Vaginal Ring

Evidence-based guidance on selected practice recommendations for contraceptive use: identification of research gaps

The relationship of male condoms and withdrawal contraceptive methods with female sexual function and satisfaction: a cross sectional study

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