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Related Experiment Videos

Temporary discontinuation: a compliance issue in injectable users.

M E Beksinska1, H V Rees, J Smit

  • 1The Reproductive Health Research Unit, Department of Obstetrics and Gynaecology, University of the Witwatersrand, Addington Hospital, Point, Durban, South Africa. mags@rhru.co.za

Contraception
|January 5, 2002
PubMed
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Many women using injectable contraceptives take breaks, often due to menstrual issues. Improved counseling could help maintain consistent use of these birth control injections.

Area of Science:

  • Reproductive Health
  • Contraceptive Technology

Background:

  • Injectable contraceptives are widely used but discontinuation and method switching are common.
  • Understanding user behavior post-discontinuation is crucial for improving contraceptive adherence.

Purpose of the Study:

  • To examine compliance in injectable contraceptive users.
  • To document contraceptive practices of women after discontinuing injectable methods.

Main Methods:

  • A cohort of 189 new users of depot-medroxyprogesterone acetate and norethisterone oenanthate were followed for 2 years.
  • Contraceptive practices were documented regardless of method continuation.

Main Results:

  • Continuation rates were 42% at 1 year and 21% at 2 years.

Related Experiment Videos

  • Of 78 discontinuers, 31 reported "taking a break"; 20 had a nonuse segment within the study period, with 15 returning to injections.
  • Menstrual disturbances were the primary reason for breaks; users remained sexually active and did not use other methods during breaks.

    • Conclusions:

    • A significant proportion of women take breaks from injectable contraceptives, often due to menstrual disturbances.
    • Strengthened counseling at acceptance may reduce breaks and improve sustained use of injectable methods.