The Potential of Hormonal Contraception to Influence Female Sexuality

Coelho, Filipa de Castro; Barros, Cremilda

doi:10.1155/2019/9701384

Cited by 31 publications

(45 citation statements)

References 79 publications

(115 reference statements)

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“…However, evidence shows that this is an unrealistic expectation, with many women not knowing that the menstrual and other symptoms they experience could be improved with a different choice of contraceptive and some women feeling too embarrassed to discuss certain side effects, e.g. combined oral contraceptive-related loss of libido, with their HCP [16][17][18][19][20]. It is therefore important both for HCPs to ask their patients open-ended questions, to help trigger a discussion, and, perhaps more importantly, for patients to be actively encouraged to speak up during consultations.…”

Section: Discussionmentioning

confidence: 99%

Missed Opportunities in Contraceptive Counselling: Findings from a European Survey-based Study with Simulated Patient Consultation

Nappi

Vermuyten

Bannemerschult

2020

Preprint

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Background: Available evidence highlights unmet needs in contraceptive counselling practices. The aim of this study was to better understand current practices and clinician behaviour across Europe.Methods: This survey-based study used a novel, online approach to simulate contraceptive counselling discussions based on three, predefined patient types, each with a hidden need. Clinicians were asked to recommend a contraceptive method for their randomly assigned patient at two time points: 1) after a simulated discussion, during which they were given a brief patient profile and the opportunity to question their patient to obtain further information; 2) after they had been presented with a full patient profile. Descriptive statistics were used to analyse the clinicians’ counselling approach, how successful clinicians were at uncovering the hidden needs of their patients, and whether an understanding of these needs would cause clinicians to change their contraceptive recommendation. Results: In total, 661 clinicians from 10 European countries participated in the study, including obstetricians/gynaecologists, midwives and general practitioners. Clinician specialty varied by nation. Most clinicians (78.8% and 70.5%, respectively) failed to uncover the hidden needs of patients X and Y, both of whom had requested prescription renewals. By contrast, 63.4% of clinicians uncovered the hidden need of patient Z, who had requested a review of her contraceptive method. Clinicians who did uncover their patients’ hidden needs asked significantly more questions than those who did not (mean 5.1–7.8 vs 1.5–2.2). Clinicians were more likely to recommend a change of prescription once they had seen the full patient profile than after the simulated discussion (12.3–30.2% increase in prescription change), indicating that clinicians rely on their patients to speak up proactively about any concerns. Family planning and bleeding issues were frequently not discussed in consultations.Conclusions: Existing counselling practices appear insufficient to capture patient needs, with opportunities for shared decision-making and discussion being missed. Clinicians and contraceptive counselling services should aim to introduce more in-depth contraceptive counselling, incorporating clear, open-ended questions, to improve patient adherence and enhance reproductive planning. Women should be empowered to actively voice both their needs and any dissatisfaction with their current contraceptive.

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Section: Discussionmentioning

confidence: 99%

Missed Opportunities in Contraceptive Counselling: Findings from a European Survey-based Study with Simulated Patient Consultation

Nappi

Vermuyten

Bannemerschult

2020

Preprint

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“…All combined oral contraceptives are taken daily, and this may cause hormonal fluctuations and, consequently, poor compliance. Various side effects have been reported because of using oral contraceptives, including headache, nausea, breast tenderness, vaginal dryness, loss of libido, weight gain, irritability, and depression [17,18]. Some studies reported that the use of combined oral contraceptives is associated with an increased risk of breast cancer due to the carcinogenic nature of estrogen-progesterone contraceptives [19], cervical cancer [20], venous thromboembolism [21], and HIV [22,23].…”

Section: Non-vaginal Contraceptivesmentioning

confidence: 99%

Vaginal Administration of Contraceptives

et al. 2020

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While contraceptive drugs have enabled many people to decide when they want to have a baby, more than 100 million unintended pregnancies each year in the world may indicate the contraceptive requirement of many people has not been well addressed yet. The vagina is a well-established and practical route for the delivery of various pharmacological molecules, including contraceptives. This review aims to present an overview of different contraceptive methods focusing on the vaginal route of delivery for contraceptives, including current developments, discussing the potentials and limitations of the modern methods, designs, and how well each method performs for delivering the contraceptives and preventing pregnancy.

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“…Affandi (2014) menyatakan bahwa penggunaan DMPA jangka panjang (≥ 2 tahun) beresiko besar terhadap rendahnya kadar estradiol serum yang dapat berupa kehilangan massa tulang, amenorea berkepanjangan, kekeringan pada vagina sampai penurunan libido. Kondisi hipoestrogen berdampak pada fungsi seksual: pengurangan pelumasan pada vulva vagina, vasokongesti saat berhubungan seksual, dan dispareunia (Coelho & Barros, 2019).…”

Section: Pembahasanunclassified

Gangguan Seksual pada Akseptor Suntik Depo Medroxyprogesteron Asetat

Tarsikah

2020

j.kesehatan metro sai wawai

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Latar Belakang: Kontrasepsi suntik Depo Medroksiprogesteron Asetat (DMPA) merupakan salah satu metode kontrasepsi yang paling banyak digunakan oleh wanita, namun banyak dari mereka tidak mengetahui efek jangka panjangnnya. Kandungan hormon progestine dalam kontrasepsi DMPA dapat menekan hormon estrogen sehingga vagina menjadi kering dan mengakibatkan gangguan seksual. Tujuan: Mengetahui hubungan lama penggunaan suntik DMPA dengan gangguan seksual.Metode: Penelitian analitik observasional dengan rancangan studi cross sectional. Sampel penelitian berjumlah 60 akseptor suntik DMPA yang dipilih secara simple random sampling. Variabel penelitian adalah lama penggunaan kontrasepsi suntik DMPA dan gangguan seksual. Instrumen penelitian menggunakan kuesioner FSFI. Analisis data menggunakan chi square dengan tingkat kemaknaan 0.05.Hasil: Hasil penelitian menunjukkan dari 26 responden dengan lama penggunaan kontrasepsi Depo Medroxyprogesterone ≥ 5 tahun semua (100%) mengalami gangguan seksual. Hasil analisis menunjukkan ada hubungan antara lama penggunaan suntik DMPA dengan gangguan seksual (p=0.038). Simpulan: Lama penggunaan kontrasepsi suntik DMPA meningkatkan kejadian gangguan seksual pada akseptor. Akseptor DMPA agar switching menggunakan kontrasepsi hormonal dan bukan hormonal untuk mengurangi efek samping gangguan seksual.

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The Potential of Hormonal Contraception to Influence Female Sexuality

Cited by 31 publications

References 79 publications

Missed Opportunities in Contraceptive Counselling: Findings from a European Survey-based Study with Simulated Patient Consultation

Missed Opportunities in Contraceptive Counselling: Findings from a European Survey-based Study with Simulated Patient Consultation

Vaginal Administration of Contraceptives

Gangguan Seksual pada Akseptor Suntik Depo Medroxyprogesteron Asetat

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