Women's perceptions and treatment patterns related to contraception: results of a survey of US women

Nelson, Anita L.; Cohen, Stephen S.; Galitsky, Alex; Hathaway, Mark; Kappus, Dale; Kerolous, Majid; Patel, Kiren; Dominguez, Linda

doi:10.1016/j.contraception.2017.09.010

Cited by 23 publications

(21 citation statements)

References 15 publications

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“…They can be less likely to use condoms compared with women who use other contraceptive methods and may be more susceptible to sexually transmitted infections (STIs) [ 8–10 ]. Additionally, many U.S. women who previously used hormonal birth control methods are now at risk of pregnancy because they use nothing, primarily because of dissatisfaction with or distrust of hormones [ 5 , 11 ]. The situation may be even more worrisome in developing countries.…”

Section: Introductionmentioning

confidence: 99%

Development of multipurpose technologies products for pregnancy and STI prevention: update on polyphenylene carboxymethylene MPT gel development†

Weitzel

North

Waller

2020

Biology of Reproduction

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Abstract Current modern contraceptives rely heavily on the use of hormones. These birth control drug products, including pills, patches, injections, and IUDS, have been extremely beneficial to millions of women and their families over the past 50 years. But a surprisingly high number of women abandon such modern methods, many because they cannot tolerate the side effects and others because they have medical issues for which hormonal methods are contraindicated. In addition, modern hormonal methods are simply not available to many women. The extent of this problem is steadily becoming more apparent. We present the case for developing simple nonhormonal vaginal products that women can use when needed, ideal products that are multipurpose and offer both contraception and sexually transmitted disease protection. Gel-based vaginal products are particularly well suited for this purpose. Gels are easy to use, highly acceptable to many women, and can be safely formulated to enhance natural vaginal defenses against infection. However, the development of a new chemical entity for this application faces significant technical and regulatory hurdles. These challenges and our solutions are described for polyphenylene carboxymethylene (PPCM), a novel topical drug in a vaginal gel nearing human clinical trials. We have advanced PPCM from benchtop to IND-enabling studies and provide a brief description of the complex development process. We also describe a simple lab assay which can be used as a biomarker for contraceptive activity to enable pharmacodynamic studies in vaginal contraceptive development, both preclinically and in early human clinical trials.

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Section: Introductionmentioning

confidence: 99%

Development of multipurpose technologies products for pregnancy and STI prevention: update on polyphenylene carboxymethylene MPT gel development†

Weitzel

North

Waller

2020

Biology of Reproduction

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“…If advice and comprehensive counselling about possible side-effects of LARC are provided at method initiation, studies indicate that uptake, satisfaction and continuation of LARC methods can be enhanced. 7,23…”

Section: Discussionmentioning

confidence: 99%

Women’s satisfaction with and ongoing use of hormonal long‐acting methods compared to the oral contraceptive pill: Findings from an Australian general practice cluster randomised trial (ACCORd)

Black

McGeechan

Watson

et al. 2021

Aust NZ J Obst Gynaeco

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Background:The Australian Contraceptive ChOice pRoject (ACCORd) aimed to assess the impact of a complex general practice intervention on the uptake of long-acting reversible contraceptives (LARC).Aims: Using survey data from enrolled women, we aimed to compare the ongoing use and satisfaction of women who chose one of the hormonal LARC methods including the levonorgestrel intrauterine system (LNG-IUS) or levonorgestrel implant compared to the oral contraceptive pill (OCP). Materials and Methods:We used the data from participants' baseline, six and 12-month surveys to identify new users of implants, LNG-IUS or OCP. We included demographic information, ongoing use of the contraceptive method, reasons for dissatisfaction and discontinuation and experience of side-effects. Proportions were compared using χ 2 tests.Results: Of the 740 women enrolled in ACCORd, 176 started using a hormonal LARC or OCP in the study's first six months with 76 using the IUS (43%), 60 the implant (34%) and 40 (23%) the OCP.Twelve-month continuation rates for the LNG-IUS, implant and OCP were 93, 83 and 65% respectively (P < 0.001). Satisfaction was highest among the LNG-IUS users; 86% were very/somewhat satisfied compared to 75% of implant users and 61% of OCP users (P < 0.001). Main reasons for method dissatisfaction were irregular bleeding and mood changes which were similar for all methods. Conclusions:This study provides further evidence that hormonal LARC methods have higher continuation and satisfaction rates compared to the OCP with similar side-effects. Since hormonal LARC methods have the highest contraceptive efficacy, these should be offered first-line to women.

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“…Benzer olarak başka bir çalışmada üreme çağındaki kadınların %10'undan azında bu yöntemlerin kullanıldığı bildirilmiş, fakat uygun AP danışmanlığı ile bu oranın arttırılarak istenmeyen gebeliklerin önlenebileceği ve düşükleri azaltacağı vurgulanmıştır [12]. [20][21][22][23][24]. Bir çalışmada sosyoekonomik düzeyi düşük kadınlarda yetersiz AP danışmanlık hizmetine bağlı olarak istenmeyen gebeliklerin arttığı, AP danışmanlık hizmeti alan kadınlarda bu oranın azaldığı bildirilmiştir [25].…”

Section: İstatistik Analizunclassified

“…AP danışmanlık hizmetlerinin içeriğinin ve sunum türünün hizmeti alanlar tarafından kabulü, bu kişilerin sosyokültürel ve demografik özellikleri ile doğrudan ve yüksek düzeyde ilişkilidir [20][21][22][23][24]. Bir çalışmada sosyoekonomik düzeyi düşük kadınlarda yetersiz AP danışmanlık hizmetine bağlı olarak istenmeyen gebeliklerin arttığı, AP danışmanlık hizmeti alan kadınlarda bu oranın azaldığı bildirilmiştir [25].…”

Section: Tablo 4 Katılımcıların Danışmanlık Sonrası Tercihlerinin En öNemli Sebepleri N: Hasta Sayısıunclassified

Aile Planlaması Danışmanlık Hizmetinin Kadınların Kontraseptif Yöntem Tercihine Etkisi: Bir Tersiyer Merkez Deneyimi

Kirici

Kaplan

Karaçor

et al. 2020

Jinekoloji-Obstetrik Ve Neonatoloji Tıp Dergisi

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Aim: Everyone has the right to decide whether or not to have children, when to have children; to achieve effective and reliable family planning (FP) methods equally; and to receive FP counseling services. The aim of this study is to investigate the effects of women's characteristics and FP counseling service on women's choice of FP method. Material and Methods: This cross-sectional observational study was conducted with 18-45 year aged healthy volunteers who admitted to the Family Planning Unit of the Gynecology and Obstetrics Clinic of a tertiary center. A questionnaire including questions about FP counseling services and method preferences was applied to women. Pre and post counseling preferences were compared. Results: The median gravidity and the median number of living children of 334 women who participated in the study were both found 3, while the median time has passed 12 months since their last birth. Among the methods that women consider to prefer before counseling, copper intrauterine device (IUD) was the most common, condom in the second place, combined oral contraceptive (POP) in the third place, while the frequency of choice of copper IUD increased and the frequency of choice of other methods decreased. Women reported that they thought the method was safer as the most important factor affecting method preference after FP counseling. Another important finding of the study is that, as the number of living children increases, women prefer methods that provide longterm protection more frequently. However, 95.2% of the women preferred the method recommended by the FP counselling staff. Conclusion: FP counseling service has a significant impact on women's preferences. The availability and accessibility of these services will facilitate women's choice of contraceptive methods that are suitable for their characteristics and health status.

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Women's perceptions and treatment patterns related to contraception: results of a survey of US women

Abstract: This study provides insight into modern women's attitudes and views toward prescription contraception that may be important to clinicians and women themselves.

Cited by 23 publications

References 15 publications

Development of multipurpose technologies products for pregnancy and STI prevention: update on polyphenylene carboxymethylene MPT gel development†

Development of multipurpose technologies products for pregnancy and STI prevention: update on polyphenylene carboxymethylene MPT gel development†

Women’s satisfaction with and ongoing use of hormonal long‐acting methods compared to the oral contraceptive pill: Findings from an Australian general practice cluster randomised trial (ACCORd)

Aile Planlaması Danışmanlık Hizmetinin Kadınların Kontraseptif Yöntem Tercihine Etkisi: Bir Tersiyer Merkez Deneyimi

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