Menstrual suppression: current perspectives

Hillard, Paula

doi:10.2147/ijwh.s46680

Cited by 52 publications

(33 citation statements)

References 77 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Traditionally men are breadwinners in most developing societies (45). Many widows and women separated from their husbands face social and economic challenges, and those challenges may worsen when they lack support to sustain their families, predisposing them to economic deprivation, poverty, malnutrition and poor access to health services (26)(27)(28). In addition, our analysis showed a correlation between marital status and age (r = 0.63).…”

Section: Discussionmentioning

confidence: 61%

“…Evidence suggested that improved economic status was associated with appropriate nutrition conditions (26), lower infection morbidity (25), increased access to health services as well as other favourable living conditions (26,27), all of which influence anemia. Malnourished women have greater risk of iron deficiency -the most common proximate cause of anemia (1) and they are mostly associated with poor socio-economic status (28).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Risk factors of anemia among Women of Reproductive Age in Rwanda: implications for designing better interventions

Hakizimana¹,

Mp²,

Logan³

et al. 2019

Preprint

View full text Add to dashboard Cite

Background Anemia among Women of Reproductive Age (WRA) continues to be among the major public health problems in many developing Rwanda where It was increased comparing 2015 to 2010 Demographic and Health Survey (DHS) reports. A thorough understanding of the its risk factors is necessary to design new better approaches. However, to the best of our knowledge, no study assessing factors associated with anemia among WRA has been conducted. Therefore, this study aims to identify anemia risk factors among WRA in Rwanda. Methods This was a quantitative, cross-sectional study using secondary data from the Rwanda Demographic and Health Survey (RDHS) 2014-2015. The study population consisted of 6680 WRA who were tested for anemia during the survey. Anemia was defined as having equal or below to 10.9 g/dl for a pregnant woman, and hemoglobin level equal or below to 11.9 g/ for a non-pregnant woman. Pearson’s chi-squared test and multiple logistic regression were conducted for bivariate and multivariable analysis respectively. We reported Odds Ratio (OR), 95% Confidence Intervals (CI) and p-values. We used Stata version 14.2 for all analyses. Results The prevalence of anemia among WRA was 19.2% (95% CI: 18.0 - 20.5). After controlling for other variables, the factors associated with were being obese (OR: 0.61, 95% CI: 0.40 - 0.91), being in rich category (OR: 0.74, 95% CI: 0.63 - 0.87), sleeping under a mosquito net (OR: 0.85, 95% CI: 0.74 - 0.98), and using hormonal contraceptives (OR: 0.61, 95% CI: 0.50 - 0.73). The factors associated with higher odds of anemia were being underweight (OR: 1.39, 95% CI: 1.09 - 1.78), using an Intra Uterus Device (OR: 1.98, 95% CI: 1.05 - 3.75), and living in the Southern province (OR: 1.45, 95% CI: 1.11 - 1.89) or in the Eastern province (OR: 1.41, 95% CI: 1.06 - 1.88). Conclusion Anemia continues to pose public health challenges; novel public health interventions should consider geographic variations, improve women economic status, and strengthen iron supplementation especially for IUD users. Additionally, given the association between anemia and malaria, interventions to prevent malaria should be enhanced.

show abstract

Section: Discussionmentioning

confidence: 61%

Section: Discussionmentioning

confidence: 99%

Risk factors of anemia among Women of Reproductive Age in Rwanda: implications for designing better interventions

Hakizimana¹,

Mp²,

Logan³

et al. 2019

Preprint

View full text Add to dashboard Cite

show abstract

“…Women should, first and foremost, understand that the use of an extended regimen COC to delay or eliminate scheduled bleeding episodes is not harmful to their health 42 , 46–49 , 89–91 ( Table 2 92–95 ). Clinicians should also ensure that they provide information about the side effects of the contraceptives considered and communicate about these side effects in a way that is meaningful to women 84 .…”

Section: Resultsmentioning

confidence: 99%

Extended regimen combined oral contraception: A review of evolving concepts and acceptance by women and clinicians

Nappi

Kaunitz

Bitzer

2015

The European Journal of Contraception & Reproductive Health

View full text Add to dashboard Cite

Objectives: The clinical utility of extended regimen combined oral contraceptives (COCs) is increasingly being recognised. Our objective was to understand the attitudes of women and clinicians about the use of these regimens. We present the rationale for extended regimen COCs from a historical perspective, and trace their evolution and growing popularity in light of their clinical benefits. We conclude by offering potential strategies for counselling women about extended regimen COC options. Methods: We conducted a MEDLINE search to identify and summarise studies of extended regimen COCs, focusing on attitudes of women and clinicians regarding efficacy, safety/tolerability and fewer scheduled bleeding episodes and other potential benefits. Results: The body of contemporary literature on extended regimen COCs suggests that their contraceptive efficacy is comparable to that of conventional 28-day (i.e., 21/7) regimens. For women seeking contraception that allows infrequent scheduled bleeding episodes, particularly those who suffer from hormone withdrawal symptoms and cyclical symptoms (e.g., headache, mood changes, dysmenorrhoea, heavy menstrual bleeding), extended regimen COCs are an effective and safe option. Although satisfaction with extended regimen COCs in clinical trials is high, misperceptions about continuous hormone use may still limit the widespread acceptance of this approach. Conclusions: Despite the widespread acceptance among clinicians of extended regimen COCs as an effective and safe contraceptive option, these regimens are underused, likely due to a lack of awareness about their availability and utility among women. Improved patient education and counselling regarding the safety and benefits of extended regimen COCs may help women make more informed contraceptive choices.

show abstract

“…Severe wasting from AIDS may contribute to a hypothalamic cessation of menses. 5 Anovulation may result from opiate or antipsychotic use, 17 cancer chemotherapy, 18 use of hormones as an appetite stimulant, 19 or even emotional stress 20 such as that associated with the initial diagnosis of HIV infection, stigma, and clinical disease progression. Furthermore, protease inhibitor use has been associated with insulin resistance 21 and polycystic ovarian syndrome (PCOS) in a single case report.…”

Section: Introductionmentioning

confidence: 99%