Long-acting, reversible and permanent methods of contraception: insight into women’s choice of method

Kane, Roslyn and Irving, Gwen and Brown, Sally and Parkes, Neal and Walling, Martin and Killick, Stephen (2009) Long-acting, reversible and permanent methods of contraception: insight into women’s choice of method. Quality in Primary Care, 17 (2). pp. 107-114. ISSN 1479-1072

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Long-acting, reversible and permanent methods of contraception: insight into women’s choice of method
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Abstract

Background This study aims to explore the views of women concerning their choice of long-acting method of contraception.
Method. Two-hundred and eighty-six women who had either been sterilised or fittedwith an etonorgestrel(ETN) implant or the levonorgestrel intrauterine system (LNG IUS) were invited to take part. A response rate of 54% was achieved. Women from all three groups reported positive and negative
experiences with their chosen method. Results Women frequently choose sterilisation specifically because it is irreversible, does not involve hormonal treatment, and they do not wish to retain choice of future fertility. Women incorrectly regard sterilisation as more reliable than any reversible method. Regret after sterilisation was common,
even if this was preceded by full counselling. Even
among patients of practices with a special interest in family planning, long-acting methods, although available, were not widely known about. Conclusion This study suggests that women chose sterilisation for one of three main reasons: to avoid the possible side-effects of hormones; to avoid continually having to make decisions regarding childbearing; and/or a lack of information regarding
reversible methods. Sterilisation is often chosen by
women specifically because of its irreversibility. This
may explainwhy long-acting reversible methods have remained relatively unpopular.

Item Type:Article
Keywords:contraception, long-acting reversible methods, LARC
Subjects:A Medicine and Dentistry > A990 Medicine and Dentistry not elsewhere classified
Divisions:College of Social Science > School of Health & Social Care
ID Code:1905
Deposited By: Ros Kane
Deposited On:19 Jun 2009 10:42
Last Modified:05 Dec 2013 10:24

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