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Perceptions and satisfaction among Norplant users in Finland
S Sihvo1, E Ollila, E Hemminki
1Department of Public Health, University of Helsinki, Finland.
Acta Obstetricia Et Gynecologica Scandinavica
|July 1, 1995
Summary
Norplant contraceptive implant users frequently experienced side-effects, with mental health issues being a key reason for removal. However, 78% of users reported satisfaction, particularly older women with repeat use.
Area of Science:
- Reproductive Health
- Contraception
- User Satisfaction Studies
Background:
- Norplant (levonorgestrel implant) is a long-acting reversible contraceptive.
- Assessing user experience is crucial for contraceptive method acceptance and continuation.
Purpose of the Study:
- To evaluate user perceptions and satisfaction with the Norplant contraceptive implant.
- To identify factors influencing satisfaction and dissatisfaction with Norplant.
Main Methods:
- A mailed questionnaire survey was administered to women who had Norplant inserted 1-2 years prior.
- Study involved 207 respondents (82% response rate) from family-planning clinics in Finland.
Main Results:
- Nearly all users (97%) reported side-effects, with 72% finding them disruptive.
- Bleeding irregularities were common early side-effects; depression and nervousness led to early removal.
- Despite side-effects, 78% of users were satisfied, especially older women using their second set of implants.
Conclusions:
- Mental health side-effects associated with Norplant require greater attention.
- High satisfaction with Norplant is observed in carefully selected populations, such as older women.