Abstract
Objective: The purpose of this study was to determine utilization rate of contraceptive vaginal ring, depending on the method of continuity and the side effects of the use of the method.Material and methods: The research was performed the ages of 18-36 women who request contraseptive methods in the three hospitals family planning unit. The data collected through the form of data, including questions on the use of the vaginal ring and socio-demographic characteristics between the February to December 2011.Results: The average age of the women was 29.17 ± 6:43 and 99.3% of women were married. The study revealed that, 68.8% of women with the already used by another method, 51.8% of the women’s husbands did not use any contraceptive method, 11.4% of women used the method without the knowledge of her husband. All the women were heard nothing about the vaginal ring previously. 27.7% of the women agreed to use the vaginal ring, 43.8% of women were accepted due to be applied on its CİLT: 45 YIL: 2014 SAYI: 2ZEYNEP KAMİL TIP BÜLTENİ 2014;45:61-4DERLEMEKadınların Aile Planması YöntemlerindenVajinal Halka Kullanımının İncelenmesiAnalysis of the Use of Family Planning Method Vaginal Ring Among WomenHakan Nazik *, Evşen Nazik **, Murat Api ***, Şule Gökyıldız ****, Şule Gül ***** * Adana Numune Eğitim ve Araştırma Hastanesi, Kadın Hastalıkları ve Doğum Bölümü** Çukurova Üniversitesi Adana Sağlık Yüksek Okulu, Hemşirelik Bölümü*** Zeynep Kamil Kadın ve Çocuk Hastalıkları Eğt. ve Arş. Hast. Kadın Hastalıkları ve Doğum Bölümü**** Çukurova Üniversitesi Adana Sağlık Yüksek Okulu, Ebelik Bölümü***** Niğde Kadın ve Çocuk Hastalıkları Hastanesi, Niğdeİletişim Bilgileri:Sorumlu Yazar: Dr. Hakan NazikYazışma Adresi: Adana Numune Eğt. ve Arş. Hast.Kadın Hast. ve Doğum Bölümü 01360, Adana, TürkiyeTel: +90 542 686 11 20 Fax: +903222472654E-mail: drhakannazik@gmail.comMakalenin Geliş Tarihi: 30.06.2013Makalenin Kabul Tarihi: 16.03.2014own. 54.9% of women in difficulty of use did not agree to use, 37.8% of these women said that her husband might be anxious. As a result, all women will continue to use the vaginal ring was found, all the women never felt stinging in the vagina, 89.3% of women did not feel during intercourse, 10.7% of women’s husband felt vaginal ring and the frequency of intercourse was not change 96.6% of women.Conclusion: The low rate of awareness of the vaginal ring has been found among women, however, the women were satisfied with this method.
Keywords
References
- Rosenberg MJ, Waugh MS. Oral contraceptive discontinuation: a prospective evaluation of frequency and reasons. Am J Obstet Gynecol 1998;179:577– 82.
- Rosenberg MJ, Waugh MS, Burnhill MS. Compliance, counseling and satisfaction with oral contraceptives: a prospective evaluation. Fam Plann Perspect. 1998;30:89-92,104.
- Rosenberg M, Waugh MS. Causes and consequences of oral contraceptive noncompliance. Am J Obstet Gynecol 1999;180: S276–9.
- Burkman RT. Oral contraceptives: current status. Clin Obstet Gynecol 2001;44:62– 72.
- Timmer CJ, Mulders TM. Pharmacokinetics of etonogestrel and ethinylestradiol released from a combined contraceptive vaginal ring. Clin Pharmacokinet 2000;39:233–42.
- Roumen FJ, Apter D, Mulders TM, Dieben TO. Efficacy, tolerability and acceptability of a novel contraceptive vaginal ring releasing etonogestrel and ethinyl oestradiol. Hum Reprod 2001;16:469– 75.
- Dieben TO, Roumen FJ, Apter D. Efficacy, cycle control, and user acceptability of a novel combined contraceptive vaginal ring. Obstet Gynecol 2002;100:585– 93.
- Oddsson K, Leifels-Fischer B, de Melo NR, et al. Efficacy and safety of a contraceptive vaginal ring (NuvaRing) compared with a combined oral contraceptive: a 1-year randomized trial. Contraception 2005;71:176– 82.
- Ahrendt HJ, Nisand I, Bastianelli C, et al. 2006. Effi cacy, acceptability and tolerability of the combined contraceptive ring, NuvaRing, compared with an oral contraceptive containing 30 μg ethinyl estradiol and 3 mg of drospirenone. Contraception, 74:451–7.
- Roumen FJME, Dieben TOM. 2006. Comparison of uterine concentrations of ethinylestradiol and etonogestrel – after use of a contraceptive vaginal ring and an oral contraceptive. Fertil Steril, 85:57–62.
- Sabatini R, Cagiano R. 2006. Comparison profi les of cycle control, side effects and sexual satisfaction of three hormonal contraceptives. Contraception, 74:220–3.
Kadınların Aile Planması Yöntemlerinden Vajinal Halka Kullanımının İncelenmesi (Analysis of the Use of Family Planning Method Vaginal Ring Among Women)
Abstract
Amaç: Bu çalışma kontraseptif etki gösteren vajinal halkanın, kadınlarda kabul görme oranı, yöntem kullanımına devamlılık ve yönteme bağlı yan etkileri ortaya koymak amacıyla planlanmıştır.
Gereç ve yöntemler: Araştırma Adana iline bağlı üç hastanenin Aile Planlaması Ünitesine başvuran, 18-36 yaş aralığında, hormonal kontrasepsiyon istemi olan, 141 kadın ile tamamlanmıştır. Veriler Şubat-Aralık 2011 tarihleri arasında, araştırmacılar tarafından hazırlanan sosyo-demografik özellikler ve vajinal halka kullanımına yönelik soruları içeren veri formu ile toplanmıştır. Danışmanlık sonrası vajinal halka kullanmayı kabul eden kadınlarla, kendileri temin etmek şartıyla, çalışmaya devam edilmiş ve kadınlar telefonla ayda bir kez olmak üzere 2 ay takip edilmiştir. Veriler; yüzdelik, aritmetik ortalama ve standart sapma ile değerlendirilmiştir.
Bulgular: Kadınların yaş ortalamasının 29.17±6.43 olduğu, %99.3’ünün evli olduğu bulunmuştur. Kadınların %68.8’inin daha önce başka bir kontraseptif yöntem kullandığı, %51.8’inin eşlerinin herhangi bir korunma yöntemi kullanmadığı ve % 11.4’ünün eşlerinin haberi olmadan korunacağı saptanmıştır. Kadınların tamamının vajinal halkayı duymadıkları belirlenmiştir. Kadınların %27.7’sinin vajinal halka kullanmayı kabul ettiği, bunların % 43.8’i kendi başına uygulanabilir olması nedeniyle kabul ettiği belirlenmiştir. Kadınların %54.9’u kullanım zorluğu, %37.8’i eşinin tedirgin olabileceğini düşündüğü için kullanmayı kabul etmediklerini ifade etmiştir. Görüşmeler sonunda kadınların tamamının vajinal halka kullanmaya devam edeceği, tamamının halkaya yönelik vajende batma hissi yaşamadıkları, %89.3’ünün ilişki esnasında hissetmediği, %10.7’sinin eşi tarafından hissedildiği, %96.6’sının ilişki sıklığının değişmediği saptanmıştır.
Sonuçlar: Araştırmaya katılan kadınların vajinal halka konusundaki farkındalık oranlarının düşük olduğu ancak kullanan kadınların bu yöntemden memnun oldukları saptanmıştır.
Anahtar Kelimeler: Vajinal halka, aile planlaması, kontrasepsiyon.
ABSTRACT:
Analysis of the use of family planning method vaginal ring among women
Objective: The purpose of this study was to determine utilization rate of contraceptive vaginal ring, depending on the method of continuity and the side effects of the use of the method.
Material and methods: The research was performed the ages of 18-36 women who request contraseptive methods in the three hospitals family planning unit. The data collected through the form of data, including questions on the use of the vaginal ring and socio-demographic characteristics between the February to December 2011.
Results: The average age of the women was 29.17 ± 6:43 and 99.3% of women were married. The study revealed that, 68.8% of women with the already used by another method, 51.8% of the women's husbands did not use any contraceptive method, 11.4% of women used the method without the knowledge of her husband. All the women were heard nothing about the vaginal ring previously. 27.7% of the women agreed to use the vaginal ring, 43.8% of women were accepted due to be applied on its own. 54.9% of women in difficulty of use did not agree to use, 37.8% of these women said that her husband might be anxious. As a result, all women will continue to use the vaginal ring was found, all the women never felt stinging in the vagina, 89.3% of women did not feel during intercourse, 10.7% of women’s husband felt vaginal ring and the frequency of intercourse was not change 96.6% of women.
Conclusion: The low rate of awareness of the vaginal ring has been found among women, however, the women were satisfied with this method.
Keywords: Vaginal ring, family planning, contraception.
Keywords
References
- Rosenberg MJ, Waugh MS. Oral contraceptive discontinuation: a prospective evaluation of frequency and reasons. Am J Obstet Gynecol 1998;179:577– 82.
- Rosenberg MJ, Waugh MS, Burnhill MS. Compliance, counseling and satisfaction with oral contraceptives: a prospective evaluation. Fam Plann Perspect. 1998;30:89-92,104.
- Rosenberg M, Waugh MS. Causes and consequences of oral contraceptive noncompliance. Am J Obstet Gynecol 1999;180: S276–9.
- Burkman RT. Oral contraceptives: current status. Clin Obstet Gynecol 2001;44:62– 72.
- Timmer CJ, Mulders TM. Pharmacokinetics of etonogestrel and ethinylestradiol released from a combined contraceptive vaginal ring. Clin Pharmacokinet 2000;39:233–42.
- Roumen FJ, Apter D, Mulders TM, Dieben TO. Efficacy, tolerability and acceptability of a novel contraceptive vaginal ring releasing etonogestrel and ethinyl oestradiol. Hum Reprod 2001;16:469– 75.
- Dieben TO, Roumen FJ, Apter D. Efficacy, cycle control, and user acceptability of a novel combined contraceptive vaginal ring. Obstet Gynecol 2002;100:585– 93.
- Oddsson K, Leifels-Fischer B, de Melo NR, et al. Efficacy and safety of a contraceptive vaginal ring (NuvaRing) compared with a combined oral contraceptive: a 1-year randomized trial. Contraception 2005;71:176– 82.
- Ahrendt HJ, Nisand I, Bastianelli C, et al. 2006. Effi cacy, acceptability and tolerability of the combined contraceptive ring, NuvaRing, compared with an oral contraceptive containing 30 μg ethinyl estradiol and 3 mg of drospirenone. Contraception, 74:451–7.
- Roumen FJME, Dieben TOM. 2006. Comparison of uterine concentrations of ethinylestradiol and etonogestrel – after use of a contraceptive vaginal ring and an oral contraceptive. Fertil Steril, 85:57–62.
- Sabatini R, Cagiano R. 2006. Comparison profi les of cycle control, side effects and sexual satisfaction of three hormonal contraceptives. Contraception, 74:220–3.
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Review |
| Authors | |
| Publication Date | July 10, 2014 |
| Published in Issue | Year 2014 Volume: 45 Issue: 2 |
