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European Journal of Contraception & Reproductive Health Care

Ingrid Duijkers, Christine Klipping, Doris Heger-Mahn, Ghassan N Fayad, Tara L Frenkl, Sandra M Cruz, Tjeerd Korver
PURPOSE: To identify at least one contraceptive vaginal ring that effectively inhibits ovulation and demonstrates cycle control that is non-inferior to NuvaRing® (Merck Sharp & Dohme B.V., The Netherlands) in terms of an unscheduled bleeding incidence, with a non-inferiority margin of 10%. METHODS: This was a randomised, active controlled, parallel group, multicentre, partially blinded trial in healthy women 18-35 years of age. Subjects received one of six contraceptive vaginal rings with an average daily release rate of 300 µg 17β-estradiol (E2) and various rates of either etonogestrel (ENG; 75, 100, or 125 µg/day) or nomegestrol acetate (NOMAC; 500, 700, or 900 µg/day), or the active control NuvaRing® (ENG/ethinylestradiol 120/15 µg), for three 28-day cycles...
September 11, 2018: European Journal of Contraception & Reproductive Health Care
Bárbara C Ribeiro, Cristina Nogueira-Silva, Hermínia Afonso, Pedro O Silva, Isabel D Reis
BACKGROUND: The subdermal etonogestrel contraceptive implant has a current approved duration of 3 years. There is, however, recent and strong evidence of its effectiveness for 2 additional years during which no pregnancies were documented. CASE: We report a case of a 28-year-old woman who had an etonogestrel implant inserted 4 years earlier and wished to get pregnant. The implant was, however, deep in the triceps muscle and could not easily be removed. Her serum levels of etonogestrel remained positive even 6 years after insertion...
September 11, 2018: European Journal of Contraception & Reproductive Health Care
Iñaki Lete, Jackie Calleja, Ezequiel Pérez-Campos, Esther de la Viuda, Roberto Lertxundi, Mercedes Martínez, Macarena Quesada, Rafael Sánchez-Borrego
OBJECTIVE: Oral combined hormonal contraceptives (CHCs) are available that limit the number of menses when used in a flexible extended regimen. Our aim was to investigate the decision-making processes of women presented with a flexible extended CHC option. METHODS: The FLEXO study is an epidemiological, cross-sectional, multicentre study conducted under typical clinical practice conditions to determine women's acceptance of a flexible continuous CHC regimen versus a cyclical 21/7 day regimen, after receiving standardised information during contraceptive counselling...
September 11, 2018: European Journal of Contraception & Reproductive Health Care
Geeta Nanda, Kate Rademacher, Marsden Solomon, Sarah Mercer, Jim Wawire, Rose Ngahu
OBJECTIVES: The levonorgestrel-releasing intrauterine system (LNG-IUS) is an underused contraceptive method in sub-Saharan Africa. A recent market assessment in Kenya found that if a more affordable version of the method were available it may increase demand and uptake of the method. We therefore aimed to examine attitudes and perceptions around the LNG-IUS and experiences of method use, including exploring attributes such as bleeding changes, contraceptive-related amenorrhoea and perceived non-contraceptive benefits...
September 10, 2018: European Journal of Contraception & Reproductive Health Care
Elizabeth J King, Kristefer Stojanovski, Jennifer Acosta
OBJECTIVES: The objective of this research was to determine modern contraceptive use (MCU) and explore factors associated with MCU in the Western Balkans. METHODS: Multiple Indicator Cluster Survey (MICS) data from Bosnia and Herzegovina, Kosovo, Macedonia, Montenegro and Serbia, including the datasets from Roma settlements, were merged. Bivariate and multivariate analyses were used to assess which factors were associated with MCU among married women aged 15-49 in the region...
August 14, 2018: European Journal of Contraception & Reproductive Health Care
(no author information available yet)
No abstract text is available yet for this article.
July 30, 2018: European Journal of Contraception & Reproductive Health Care
Maria Ekstrand Ragnar, Maria Grandahl, Jenny Stern, Magdalena Mattebo
OBJECTIVES: The aim was to explore adolescents' beliefs and awareness regarding fertility and preconception health, as well as their views and experiences of information about fertility and preconception health directed at their age group. METHODS: We performed seven semi-structured focus group interviews among upper secondary school students (n = 47) aged 16-18 years in two Swedish counties. Data were analysed by qualitative content analysis. RESULTS: One theme ('important but far away') and five categories ('starting a family far down on the list'; 'high awareness but patchy knowledge of fertility and preconception health'; 'gender roles influence beliefs about fertility and preconception health'; 'wish to preserve fertility and preconception health in order to keep the door to procreation open'; 'no panacea - early and continuous education about fertility and preconception health') emerged from the interviews...
July 16, 2018: European Journal of Contraception & Reproductive Health Care
Heini Väisänen, Päivikki Koponen, Mika Gissler, Osmo Kontula
BACKGROUND: Women's contraceptive choices may change after an induced abortion, due to contraceptive counselling or a behavioural change prompted by the experience. The effect may vary between women; sociocultural background, for example, may affect their subsequent reproductive choices. OBJECTIVE: We examined whether women's current contraceptive use was differently associated with a history of induced abortion among immigrant groups in Finland (Russian, Kurdish and Somali) and the general Finnish population...
June 25, 2018: European Journal of Contraception & Reproductive Health Care
Sara Holton, Vicki Papanikolaou, Karin Hammarberg, Heather Rowe, Maggie Kirkman, Lynne Jordan, Kathy McNamee, Chris Bayly, John McBain, Vikki Sinnott, Jane Fisher
BACKGROUND: Women with polycystic ovary syndrome (PCOS) are usually told that the condition is associated with fertility difficulties. However, little is known about their fertility management including contraceptive use, childbearing desires, and pregnancy outcomes. AIM: To compare the fertility management experiences and outcomes of Australian women with and without PCOS. METHOD: The 2013 Australian electoral roll was used to identify a random sample of 18- to 50-year-old women who were sent the Understanding Fertility Management in Australia survey to be completed anonymously...
June 25, 2018: European Journal of Contraception & Reproductive Health Care
Ana Luiza Lunardi Rocha, Márcia Cristina França Ferreira, Rívia Mara Lamaita, Eduardo Batista Cândido, Márcia Mendonça Carneiro, Agnaldo Lopes da Silva-Filho
OBJECTIVES: This study sought to assess the perceptions of health care practitioners (HCPs) regarding heavy menstrual bleeding (HMB). METHODS: We developed an online survey for HCPs administered in 10 countries (Brazil, Canada, China, France, Germany, Korea, Russia, Spain, UK and USA), in order to assess their perceptions regarding HMB. RESULTS: We received 1032 responses. Most HCPs considered more than 7 days of bleeding abnormal. There was a significant difference in the definition of HMB between countries (p < ...
June 25, 2018: European Journal of Contraception & Reproductive Health Care
Emanuela Turillazzi, Marco Di Paolo
OBJECTIVE: To explore Italian legislation and the social climate regarding the issue of emergency contraception (EC) in adolescents. RESULTS: In recent years, in Italy, we have seen changes in the law and in attitudes towards EC. Since 2016, EC has been approved for sale as a non-prescription drug to women over the age of 18. However, the requirement for a prescription is still in force for women under 18. This raises questions such as the minor's ability to consent to family planning services to prevent pregnancy, and whether physicians require parental consent before providing an EC prescription to minors...
June 2018: European Journal of Contraception & Reproductive Health Care
Jong-Yi Wang, Jen-De Chen, Chun-Chi Huang, Chiu-Shong Liu, Tsai-Fang Chung, Ming-Hong Hsieh, Chia-Woei Wang
OBJECTIVES: Infertile patients are vulnerable to mental disorders. However, a time-dependent model predicting the onset of mental disorders specific to infertile patients is lacking. This study examined the risk factors for the development of mental disorders in infertile patients and measured the duration until the occurrence of mental disorders after a diagnosis of infertility. METHODS: A total of 13,317 infertile patients in the 2002-2013 Taiwan National Health Insurance Research Database were observed...
June 2018: European Journal of Contraception & Reproductive Health Care
Rupali Dewan, Nivedita Bharti, Aditi Mittal, Abhinav Dewan
OBJECTIVE: There is insufficient evidence on the continuation, safety and acceptability of immediate insertion of the intrauterine device (IUD) after medical abortion. The objective of the present study was to evaluate clinical outcomes of early IUD insertion, compared with those of delayed IUD insertion, following medical abortion. METHODS: Women undergoing medical abortion with mifepristone and misoprostol up to 49 days' gestation and opting for Copper T 380A IUD contraception underwent early (5-14 days after mifepristone) or delayed insertion (3-4 weeks after mifepristone)...
June 2018: European Journal of Contraception & Reproductive Health Care
T Johal, N Kuruba, M Sule, S Mukhopadhyay, G Raje
OBJECTIVES: Tubal sterilisation using Essure is a minimally invasive technique for permanent contraception, with high rates of patient satisfaction. However, some women subsequently choose removal of the inserts, due to side effects such as pelvic pain, abnormal bleeding, dyspareunia or allergic dermatitis. This case series presents the management of eight women who underwent laparoscopic removal of Essure inserts in conjunction with salpingectomy. We describe our surgical technique, its underlying principles and immediate surgical outcomes...
June 2018: European Journal of Contraception & Reproductive Health Care
Faustino R Perez-Lopez, Samuel J Martinez-Dominguez, Gonzalo R Perez-Roncero, Adrian V Hernandez
OBJECTIVE: Systematic review and meta-analysis to assess the effects of uterine or paracervical lidocaine application on pain control during IUD insertion. METHODS: PubMed and five other electronic research databases were searched through 15 November 2017 for RCTs comparing lidocaine treatment vs. a control (placebo or no-intervention) to prevent pain during IUD insertion. Searched terms included 'IUD insertion', 'lidocaine' and 'randomised controlled trial'. RCTs evaluating lidocaine treatment before IUD insertion without restriction of language, age and IUD type...
June 2018: European Journal of Contraception & Reproductive Health Care
G S Merki-Feld, C Caetano, T C Porz, J Bitzer
INTRODUCTION: Effective use of contraception requires women to make an informed choice about methods that match their individual needs and expectations. The European Thinking About Needs in Contraception (TANCO) study is a quantitative, online survey of healthcare provider and women's views on aspects of counselling around contraception and contraceptive use. METHODS: Healthcare providers and women attending their practices for contraceptive counselling were invited to complete online questionnaires...
June 2018: European Journal of Contraception & Reproductive Health Care
Misgav Rottenstreich, Sorina Grisaru-Granovsky, Amihai Rottenstreich
BACKGROUND: Performance of urine pregnancy test in general adolescents' clinic reflects caregiver or woman's concern that there might be a pregnancy. We aimed to assess whether young-unmarried women in whom a negative urine pregnancy test was registered would be at increased risk of a future unintended pregnancy. METHODS: The study cohort included consecutive women drafted by the Israeli military between 2013 and 2015. The risk of unintended pregnancy was compared between women with a negative urine pregnancy test (n = 2774), the study group, and those in whom urine pregnancy test was not carried out (n = 126,659), the control group...
June 2018: European Journal of Contraception & Reproductive Health Care
Jean-Jacques Amy, Sam Rowlands
This article deals with the nine European nations which legalised non-consensual sterilisation during the interwar years, thus completing the review, the first part of which was published in an earlier issue of this Journal. Like we did for North America, Japan and Mexico, countries concerned are addressed in chronological order, as practices in one of these influenced policies in others, involved later. For each, we assess the continuum of events up to the present time. The Swiss canton of Vaud was the first political entity in Europe to introduce a law on compulsory sterilisation of people with intellectual disability, in 1928...
June 2018: European Journal of Contraception & Reproductive Health Care
Deborah Garratt, Joseph V Turner
No abstract text is available yet for this article.
June 2018: European Journal of Contraception & Reproductive Health Care
Jóna Kristjánsdóttir, Claes Sundelin, Tord Naessen
OBJECTIVES: Our purpose was to study whether there is a difference in self-rated health-related quality of life (HRQOL) and changes in HRQOL perception after 3 months of hormonal contraceptive use in adolescents. Seasonal variations in symptoms of depression were also studied. METHODS: A test group (T1) (n = 193) and a selected control group (n = 238) of women aged 14-20 years who were visiting a young person's clinic completed the 36-item short-form health survey (SF-36) and answered additional questions on menstrual history and pattern, need for menstrual pain relief medication, and other regular medication...
June 2018: European Journal of Contraception & Reproductive Health Care
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