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PubMed1991

Association between contraceptive method accepted and perception of information received: a comparison of Norplant and IUD acceptors.

In the present study Norplant(R) and IUD acceptors who attended the same counseling sessions have been compared on their perception of the information received at the family planning clinic. The study covered 100 acceptors of each method quota matched by parity and years of schooling. Data were obtained through home interviews. The two groups presented no significant differences when selected socio-demographic characteristics were analyzed. Norplant users recalled more information on this method than did IUD acceptors, and the content of what they remembered was different. This included concepts as important as risk of pregnancy, menstrual and health effects, and method of removal. The results suggest that the intrinsic qualities of the new method and the presence of a group of women motivated to use one with its general characteristics, are not sufficient conditions for its acceptance.

Contraception↗
PubMedDate not supplied

User preferences for contraceptive methods in India, Korea, the Philippines, and Turkey. World Health Organization Task Force on Psychosocial Research in Family Planning and Task Force on Service Research in Family Planning.

Research was conducted to determine the patterns of contraceptive choice in four developing countries and to investigate the association between method selection and demographic/socioeconomic variables, future family planning intentions, and users' perceptions of methods and preference for personnel. After listening to a balanced presentation of information on the methods, each woman indicated her choice and was then interviewed to determine her reasons for selecting that method. The pattern of contraceptive selection differed from the previous pattern of contraceptive use in each clinic, and this suggests that the presentation of balanced information combined with the provision of a free choice of methods is a useful approach to the assessment of the demand.

Adult↗
PubMed1997

The impact of contraceptive methods on the onset of symptomatic vulvovaginal candidiasis within the menstrual cycle.

OBJECTIVE: Vulvovaginal candidiasis is the second most common cause of vaginal discharge. Low-dose oral contraceptives are no longer thought to increase the absolute risk of episodic vulvovaginal candidiasis. This study investigates the possible impact that hormonal contraception may have on the timing of onset of symptoms within the menstrual cycle. STUDY DESIGN: In a retrospective chart review of reproductive-aged women seen at the Women's Health Care Clinic at Harbor-University of California, Los Angeles, Medical Center, data from the records of 448 symptomatic women who had 507 episodes of vulvovaginal candidiasis were extracted and analyzed for timing of onset of symptoms within the menstrual cycle. Diagnosis was based on symptoms, physical findings, and microscopy. Onset was divided into five physiologic ranges within an idealized 28-day menstrual cycle. Comparisons among groups were made with use of chi 2 and p < 0.05 thresholds for statistical significance. RESULTS: No differences were found in the onset of symptoms within the idealized menstrual cycle ranges between women using hormonal birth control methods and those using nonhormonal ones. The distribution was remarkably uniform throughout the cycle with the exception of the first few days (during menses). CONCLUSION: The timing of onset of symptoms of vulvovaginal candidiasis within a woman's menstrual cycle is not affected by her method of birth control.

Candidiasis, Vulvovaginal↗
PubMed2002

Factors in contraceptive method choice in Bangladesh: goals, competence, evaluation and access.

In this study, we have extended Bulatao's conceptual framework for selecting the determinants of method choice. Attempts have been made to capture Bulatao's dimensions directly rather than through proxies. The results of logistic regression analysis using the 1996-97 BDHS indicate that as the number of living children increases, women prefer non-terminal efficient methods such as the pill and injectable/IUD/implant and depend less on inefficient methods such as condom and permanent methods such as sterilization. With an increase in marital duration and age, women increasingly prefer sterilization as compared with other modern methods. The results may indicate a strong preference for male children among those in the sample, as women increasingly use permanent methods to prevent pregnancy as the number of living male children increases. Condom use increases with education of both women and their husbands, compared with other modern methods, indicating that more educated couples possibly have the greater understanding necessary to use the method. The better educated are significantly less likely to use sterilization. The two indicators of contraceptive evaluation, side effect and convenience of current modern method, are very important considerations in selecting the pill, injectable/IUD/implant, and condom over other modern methods. On the basis of convenience, women are most likely to use the pill over other modern methods, while they are least likely to use sterilization. Condom is the most preferred method on the basis of side effect. On the other hand, sterilization is the least preferred of other modern methods for the same reason. Sterilization is significantly less common among the Muslims, which is likely due to religious reasons, while condom use is significantly less common among non-Muslims. The two indicators of contraceptive access, accessibility/availability of current modern method and cost of current modern method, are very important considerations in pill use, while sterilization is less preferred over other modern methods on the basis of both accessibility/availability and cost. The programmatic factor visit of family planning workers/FWAs significantly increases the likelihood of using the pill compared to other modern methods.

Adolescent↗
PubMed1988

[Progress of contraceptive methods--OC and IUD].

In Japan, most couples use traditional methods, with about 80% relying on the condom and a further significant proportion on the rhythm method. In fact a combination of both methods is common among married couples. The oral contraceptives have the following advantages: Reversibility, simple and easy to use, coitally independent, no skill or knowledge required for its use, high acceptability, no pain or discomfort at use, self-administration, while they have the following disadvantages: Inadequate during lactation, sustained motivation in the female side required, clinical contraindication exists, possible side-effects such as nausea, vomiting, breast tenderness, weight gain, questionable possibility of serious side effects such as hypertension, thromboembolic diseases etc., medical supervision and follow up required, expensive cost. The use of the steroidal preparations for contraceptive purpose in Japan awaits official approval. Under present regulations, it is not illegal for the physicians to prescribe the pill, and currently six preparations are available and all contain 50 microgram of estrogen. The reduction in the estrogen and progestogen content of the pill did not appreciably compromise contraceptive potential while untoward effects were considerably lowered. The development and use of the new progestogen also contributed to minimize the possible side effects. Efforts are now being directed at a pill which minimizes metabolic change, decreases the incidence of breakthrough bleeding or spotting, without compromising efficacy. It is with these goals in mind that the multi-phasic pills have been developed in the belief that many of the undesirable side-effects can be circumvented while maintaining almost 100% conception control.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗