Journal
CONTRACEPTION
Volume 76, Issue 2, Pages 77-83Publisher
ELSEVIER SCIENCE INC
DOI: 10.1016/j.contraception.2007.04.014
Keywords
contraceptives; contraceptive use; contraception; hormonal; vaginal ring; skin patch; contraceptive pill
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Background: Contraceptive efficacy and side effects are primary concerns of women when choosing a contraceptive method. Study Design: This cross-sectional multicenter study was designed to assess the reasons for selecting the contraceptive pill, the skin patch or the vaginal ring in 9700 women, aged 18-49 years, who consulted their doctors for starting or re-initiating combined hormonal contraception. A self-administered questionnaire regarding the reasons for the selection made and for the refusal of the remaining two methods was completed. Results: The vaginal ring showed the highest acceptance (46%) compared with the pill (39%) and the skin patch (15%), particularly in women aged 35-39 years. The ring and the skin patch were mainly preferred because of the lower probability of inadvertent omission (62% of cases), convenience, and monthly or weekly frequency of use. The pill was preferred because of its proven efficacy (60% of cases) and ease of use. The acceptance of the skin patch increased with age and the pill was mostly accepted only by women in the youngest age groups. Conclusions: Convenience, frequency of use and lower probability of inadvertent omission were the primary determinants of contraceptive choice rather than the women's profile. (C) 2007 Elsevier Inc. All fights reserved.
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