Author/Editor     Pinter, B
Title     Continuation and compliance of contraceptive use
Type     članek
Source     Eur J Contracpt Reprod Health Care
Vol. and No.     Letnik 7
Publication year     2002
Volume     str. 178-83
Language     eng
Abstract     Choosing a method of contraception is an important decision as regards user satisfaction, continuation of use and compliance. The issues of continuation of and compliance with contraceptive use are presented. The continuation rate of a method of contraception is the indicator of the acceptability of that method. The highest continuation rates at the end of the first year arc recorded for subdermal implants, intrauterine devices (IUD), the pill and Depo-Provera. Lower continuation rates are found for periodic abstinence, male condom, female condom, diaphragm and spermicides. Continuation rates are highest for methods not affected by complianee. Complianee indicates the degree to which the patient adheres to a prescribed regimen. Lack of compliance can lead to adverse effects of contraceptive use (unintended pregnancy, side-effects, diminished non-contraceptive health benefits) and to discontinuation of the contraceptive method. Also, differences between method effectiveness and user effectiveness can largely be attributed to complianee with the prescribed contraceptive regitnens. Health-care professionals have to empower the patient to increase compliance with the existing methods. In addition, the development and use ofnew contraceptive methods, which take into account the issues of non-compliance, should be encouraged.
Descriptors     CONTRACEPTIVE AGENTS, FEMALE
PATIENT COMPLIANCE
INTRAUTERINE DEVICES
CONDOMS
COITUS INTERRUPTUS
SLOVENIA