Tasmanian survey of pill symptoms

To investigate young women who were currently using oral contraceptives with respect to their satisfaction, side effects, understanding of long term benefits and anxieties.

The survey was completed by 227 attendees at Family Planning Tasmania who completed a survey questionnaire during their visit.

Seventy-eight per cent of respondents were 'very happy' or 'happy' with oral contraceptives. Overall the group reported shorter, lighter and less painful periods when compared prior to pill use, with slight increase in breast swelling and tenderness as well as fluid retention. Overall there was weight gain more often than weight loss during pill use. There was very poor understanding of the long term benefits of pill use.

Although oral contraceptives are the most effective form of contraceptive, many women discontinue their use because of side effects. If women are warned about these possible effects, they may be more prepared to tolerate them. However, there is very little objective data available on the incidence of various effects on Australian women. This study shows that the single most important side effect reported was weight gain, and that we recommend that women be counselled about diet when commencing the pill. There also needs to be education about the numerous beneficial long term effects of oral contraceptive use.