Continuation Rate of Combined Hormonal Contraception: A Prospective Multicenter Study

Lete, Iñaki; Pérez-Campos, Ezequiel; Correa, Marta; Robledo, J. González; Viuda, Esther de la; Martínez, Teresa; Mendoza, Nicolás; Parera, Núria; González, José Vicente; Gómez, María Ángeles; Castelo-Branco, Camil; Lobo, Paloma

doi:10.1089/jwh.2011.2967

Cited by 16 publications

(16 citation statements)

References 23 publications

(25 reference statements)

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“…Studies focused on specific conditions such as weight gain and bleeding often specified how many women discontinued and for what reasons. In contrast, large studies including different contraceptive methods10 and/or data collected from multiple sites11 tended to categorise reasons for discontinuation broadly into ‘other’ without explanation. Some researchers12 even put pregnancy into the category ‘other’ whereas other researchers13 considered that pregnancy was due to user failure and categorised it as non-compliance.…”

Section: Resultsmentioning

confidence: 99%

“…Four of them created a separate category describing changes in libido (e.g. ‘decreased libido’ and ‘asthenia’),32–36 but one gathered low libido into the category ‘other’ together with other reasons such as pelvic pain, headaches, mastalgia, arm pain, dislike of hormones and light menstrual flow 10. It is unclear whether ‘libido’ is a term actually used by women or whether researchers use this term to describe what the women reported.…”

Section: Resultsmentioning

confidence: 99%

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Does research into contraceptive method discontinuation address women's own reasons? A critical review

Inoue

Barratt

Richters

2015

J Fam Plann Reprod Health Care

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ObjectiveTo examine the clinical and epidemiological literature addressing contraceptive method change or discontinuation and to assess whether the documented reasons reflected women's experiences.MethodsMajor databases including Medline and PsycINFO were searched using keywords related to contraception and discontinuation, adherence and satisfaction, for articles published between January 2003 and February 2013. Studies in developed countries that focused on women of reproductive age and reasons for method change or discontinuation were included. Reasons reported were categorised and examined.ResultsA total of 123 papers were reviewed in detail. Medical terminology was generally used to describe reasons for method discontinuation. The top two reported reasons were bleeding and pregnancy, but there was a lack of consensus about the categorisation of reasons. Broad categories that were not self-explanatory were included in more than half of the papers, often without further explanation. Only 12 studies expanded on categories containing ‘other’, ‘non-medical’ or ‘personal’ reasons. Eight papers included categories that attributed discontinuation to the participant, such as ‘dissatisfied with method’.ConclusionsStudies of reasons for discontinuation of contraceptives do not well describe women's specific reasons. Studies rely heavily on medical terms and often fail to document women's subjective experiences. Future studies should create an opportunity for women to articulate their non-medical reasons in their own words, including those related to their sexual lives. Furthermore, researchers should distinguish, if possible, between reasons for discontinuation of a method and reasons for ceasing participation in a research study.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Does research into contraceptive method discontinuation address women's own reasons? A critical review

Inoue

Barratt

Richters

2015

J Fam Plann Reprod Health Care

View full text Add to dashboard Cite

show abstract

“…La investigación y la aparición de nuevas pautas tienen la finalidad primordial de facilitar el uso y mejorar el cumplimiento. Los ensayos clínicos que comparan el cumplimiento en función de la pauta de administración no encuentran diferencias significativas 32,[40][41][42] . En cambio, los estudios observacionales, que incluyen usuarias típicas, refieren diferencias de cumplimiento en función de las pautas de administración [43][44][45] .…”

Section: Discussionunclassified

Nuevas recomendaciones para el consejo anticonceptivo basadas en el estilo de vida. Resultados de un estudio Delphi

Lete

Viuda

Gómez

et al. 2015

Progresos de Obstetricia y Ginecología

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“…The continuation rate was 45.9% among COC users, 42.3% among ring users, and 26% among patch users. 69 The conclusion was that the ring was not inferior to the COC in either continuity of use or effectiveness among typical users.…”

Section: Acceptabilitymentioning

confidence: 97%

Efficacy, safety, and patient acceptability of the etonogestrel and ethinyl estradiol vaginal ring

Lete¹,

Arrilucea²,

Rodríguez³

et al. 2014

OAJC

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Abstract:The contraceptive vaginal ring (CVR) is a combined hormonal contraceptive method, containing ethinyl estradiol and etonogestrel, that works by inhibiting ovulation. It differs from combined oral contraceptives (COCs) in the route of administration, which is vaginal, and the frequency of administration, which is monthly. The efficacy of the CVR is similar to that of COCs but compliance appears to be better in typical users. The CVR enables appropriate control of the menstrual cycle, with a similar side effect profile to COCs, while achieving good user acceptance. Different studies have established noncontraceptive beneficial effects of the CVR; for example, it can be useful for treating dysmenorrhea or excess menstrual bleeding. Recent epidemiological studies have confirmed that the risk of venous thromboembolism with the CVR is similar to that of COCs, including COCs that contain levonorgestrel.

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Continuation Rate of Combined Hormonal Contraception: A Prospective Multicenter Study

Abstract: At 12 cycles, the vaginal ring and the pill showed similar continuation rates and effectiveness, which were significantly higher than the skin patch.

Cited by 16 publications

References 23 publications

Does research into contraceptive method discontinuation address women's own reasons? A critical review

Does research into contraceptive method discontinuation address women's own reasons? A critical review

Nuevas recomendaciones para el consejo anticonceptivo basadas en el estilo de vida. Resultados de un estudio Delphi

Efficacy, safety, and patient acceptability of the etonogestrel and ethinyl estradiol vaginal ring

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