The Impact of Menstrual Side Effects on Contraceptive Discontinuation: Findings from a Longitudinal Study in Cairo, Egypt

Tolley, Elizabeth E.; Loza, S; L, Kafafi; Cummings, Stirling

doi:10.1363/3101505

Cited by 93 publications

(104 citation statements)

References 13 publications

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“…Previous studies have demonstrated that fears of side effects are often a barrier to the adoption of contraceptive methods, and such concerns often result in a reliance on traditional forms of contraception (e.g., withdrawal). 33,34 Many of these concerns are often ill-founded and are the consequence of misinformation on contraception. 35 These results again point to the need for targeted family planning education that can dispel many of the myths that surround the use of modern contraceptive methods.…”

Section: Discussionmentioning

confidence: 99%

Knowledge, Use, and Concerns about Contraceptive Methods among Sero-Discordant Couples in Rwanda and Zambia

Grabbe

Stephenson

Vwalika

et al. 2009

Journal of Women's Health

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Objective: The unique needs of sero-discordant couples are largely missing from many current family planning efforts, which focus on the prevention of pregnancies in absence of the reduction of the risk of human immunodeficiency virus (HIV) and other sexually transmitted infections (STIs). Conversely, HIV testing and programs focus exclusively on condom use without discussion of more effective contraceptive methods. In order to provide information to inform the development of family planning services tailored to the unique needs of serodiscordant couples, this study examined the contraceptive knowledge, use, and concerns among sero-discordant couples in urban Rwanda and Zambia. Methods: This article presents a comparison of family planning knowledge, use, and concerns about contraception among two cohorts of HIV sero-discordant study participants in Rwanda and Zambia. Results: The results reveal an interesting profile of contraceptive knowledge and use among sero-discordant couples; in both settings, despite high levels of knowledge of contraception, use of contraceptive methods remains relatively low. There is a clear gender difference in both the reporting of knowledge and use of contraceptive methods, and there is evidence of clandestine contraceptive use by women. Conclusions: Including information on family planning in voluntary counseling and testing (VCT) services in addition to tailoring the delivery of family planning information to meet to needs and concerns of HIV-positive women or those with HIV positive partners is an essential step in the delivery of services and prevention efforts to reduce the transmission of HIV. Family planning and HIV prevention programs should integrate counseling on ''dual method use,'' combining condoms for HIV=STI prevention with a long-acting contraceptive for added protection against unplanned pregnancy.

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Section: Discussionmentioning

confidence: 99%

Knowledge, Use, and Concerns about Contraceptive Methods among Sero-Discordant Couples in Rwanda and Zambia

Grabbe

Stephenson

Vwalika

et al. 2009

Journal of Women's Health

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“…TDHs [1] has furthers argued the proportion using injectables in Tanzania has gradually increasing from less than 1 percent in 1991-92, then 6% c in 1999 and 11 percent in 2010 [1]. The shift from pills and traditional methods is also reported in African countries south of the Sahara (35) [38] to women who are/have using/used contraceptive or its effectiveness? But studies on injectables show to have serious side effects to women; two third of any population using injectable contraceptive experience irregular menstrual periods, have effect on calcium stored in bones that leads to loss of bone mass and have higher risk for osteoporosis.…”

Section: Discussionmentioning

confidence: 99%

“…Promoters of contraceptives argue that these are minor side effects when compared to the results of not using contraceptives [28]. If one happens to visit the cancer hospital/clinics might cry to see how women are affected with cervical and breast cancer leave alone other side effects like dizziness, nervousness, change in skin colour, breast tenderness and loss of hair [38] [39]. It is very likely that some women have been left by their husbands for prolonged bleeding.…”

Section: Discussionmentioning

confidence: 99%

Utilization of Modern Contraceptives for Family Planning in Urban Setting: Kitunda Ward of Ilala Municipal, Dar-es-Salaam City, Tanzania

Kessy¹,

Kayombo²

2015

OALib

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Background: Tanzania is one of countries with low rate (34%) on utilization of contraceptives when compared with developed and other developing countries. Objective: The objective of this study was to assess the current use of contraceptives among women of reproductive age (15 -49 years) in urban areas as case study, and evaluate barriers on utilization of contraceptives at Kitunda ward, Ilala Municipal, Dar-es-Salaam city. Study Design: The study was a cross-sectional study. Three hundred women of reproductive age (15 -49 years) were interviewed using structured questionnaires for data collection. Two research assistants assisted researchers to interview the sampled child bearing age women. Data Analysis: The collected data were entered in a computer and were analyzed using EPI Info software version 6.0. Results: A total of 300 women were interviewed; 71.9% were of age ranged 18 -35 years; and 50.5% had secondary and college education. The prevalence of contraceptive use was 70%, and injectables ranked first (30.8%) followed by pills (27.7%). Other contraceptive methods used were calendar, rhythm and condoms. Socio-demographic characteristics of women were found to associate with contraceptive use. The most common barriers on utilization of the contraceptives reported include disruption in menstrual cycle, headache, cancer and cardiovascular diseases. It is recommended that there should be an agent need of increasing knowledge by seminar on utilization of all types of contraceptives that spells the usefulness and possible side effects like to occur to users of contraceptives and where to seek health services when such problems occur. This will help users of contraceptive users to have an informed choice which is contraceptive to use for family planning. Above all traditional herbs used for FP should be scientifically studied on their safety and efficacy. They may provide an alternative to present contraceptives that have shown to have side effects.

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“…These changes very rarely suggest a medical problem. Nonetheless, bleeding changes that occur during use of these methods are a primary reason for cessation of use [24,25].…”

Section: What Are the Most Effective And Feasible Approaches For Prevmentioning

confidence: 99%

Evidence-based guidance on selected practice recommendations for contraceptive use: identification of research gaps

et al. 2013

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The Impact of Menstrual Side Effects on Contraceptive Discontinuation: Findings from a Longitudinal Study in Cairo, Egypt

Abstract: Counseling about bleeding and other side effects should be tailored to women's personal contexts and contraceptive experiences.

Cited by 93 publications

References 13 publications

Knowledge, Use, and Concerns about Contraceptive Methods among Sero-Discordant Couples in Rwanda and Zambia

Knowledge, Use, and Concerns about Contraceptive Methods among Sero-Discordant Couples in Rwanda and Zambia

Utilization of Modern Contraceptives for Family Planning in Urban Setting: Kitunda Ward of Ilala Municipal, Dar-es-Salaam City, Tanzania

Evidence-based guidance on selected practice recommendations for contraceptive use: identification of research gaps

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