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Summary

Contraceptive use varied across Nordic countries, with Denmark and Sweden showing the highest rates. Compliance with European Medicines Agency recommendations for combined oral contraception was notably higher in Denmark compared to Finland.

Keywords:
Contraceptive usehormonal contraceptionintrauterine deviceslong-acting reversible contraceptionoral contraceptives

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Area of Science:

  • Reproductive Health
  • Pharmacovigilance
  • Public Health

Background:

  • Nordic countries exhibit varying contraceptive practices.
  • Assessing adherence to European Medicines Agency (EMA) guidelines for low-estrogen combined oral contraceptives (COCs) is crucial.
  • Levonorgestrel-containing contraceptives are a key focus for safety recommendations.

Purpose of the Study:

  • To compare contraceptive method usage across Denmark, Finland, Iceland, Norway, and Sweden.
  • To evaluate compliance with EMA recommendations for specific combined oral contraception formulations.
  • To analyze trends in contraceptive use from 2010 to 2013.

Main Methods:

  • Utilized national prescription and sales data for hormonal contraceptives and copper intrauterine devices (IUDs).
  • Data collected from Denmark, Finland, Iceland, Norway, and Sweden for the period 2010-2013.
  • Analyzed contraceptive use patterns by method, age, and time.

Main Results:

  • Denmark and Sweden reported the highest overall contraceptive use (42% and 41%, respectively).
  • Combined oral contraception was the most prevalent method, particularly in Denmark (26%).
  • Levonorgestrel-releasing intrauterine systems (50% in Denmark) and long-acting reversible contraceptives (LARCs) showed increasing use, especially in Sweden and Finland.

Conclusions:

  • Denmark and Sweden lead in overall contraceptive uptake.
  • Finland shows the highest utilization of levonorgestrel-releasing intrauterine systems.
  • Denmark demonstrated the highest compliance with EMA-recommended combined oral contraception, while Finland showed very low adherence.