Non-hormonal and hormonal intrauterine contraception: survey of patients’ perceptions in four Latin American countries

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dc.creatorAgnaldo Lopes Dasilva-filho
dc.creatorJosefina Lira
dc.creatorAna Luiza Lunardi Rocha
dc.creatorMárcia Cristina França Ferreira
dc.creatorRívia Mara Lamaita
dc.creatorEduardo Batista Cândido
dc.creatorMarcia Mendonca Carneiro
dc.date.accessioned2023-07-11T20:53:59Z
dc.date.accessioned2025-09-09T00:00:12Z
dc.date.available2023-07-11T20:53:59Z
dc.date.issued2016
dc.identifier.doi10.3109/13625187.2015.1137281
dc.identifier.issn13625187
dc.identifier.urihttps://hdl.handle.net/1843/56085
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofThe European Journal of Contraception & Reproductive Health Care
dc.rightsAcesso Restrito
dc.subjectContracepção Hormonal
dc.subjectEfeitos Colaterais e Reações Adversas Relacionados a Medicamentos
dc.subjectConhecimento do Paciente sobre a Medicação
dc.subjectDispositivos Intrauterinos
dc.subject.otherContraception
dc.subject.otherIntrauterine devices
dc.subject.otherAdverse events
dc.subject.otherKnowledge
dc.titleNon-hormonal and hormonal intrauterine contraception: survey of patients’ perceptions in four Latin American countries
dc.typeArtigo de periódico
local.citation.epage7
local.citation.spage1
local.citation.volume1
local.description.resumoObjectives: This study sought to understand women's perceived barriers to the use of hormonal and non-hormonal intrauterine contraception in Latin America.Methods: We developed an online survey for women in Argentina, Brazil, Colombia and Mexico who were seeking contraception. The questions aimed at evaluating patient awareness of negative stories and statements, as well as perceived barriers to the copper intrauterine device (IUD) and the levonorgestrel-releasing intrauterine system (LNG-IUS). Results: The survey was mailed to 2300 women. A total of 1953 responses were received from Argentina (n = 465), Brazil (n = 380), Colombia (n = 613) and Mexico (n = 495). More women reported having heard negative stories about the copper IUD than about the LNG-IUS. More women believed that the copper IUD, rather than the LNG-IUS, was suitable only for those who had already had children. More women believed that weight gain (14.3% vs. 38.2%; p < 0.001), mood swings (14.1% vs. 38.7%; p < 0.001) and infertility (16.3% vs. 19.9%; p = 0.016) were possible side effects of the LNG-IUS. By contrast, more women believed that abortion (36% vs. 22.7%; p < 0.001), pelvic infections (42.1% vs. 15.7%; p < 0.001) and ectopic pregnancy (43.5% vs 23.5%; p < 0.001) were side effects more associated with the copper IUD. More believed the copper IUD was associated with less pain during placement and removal compared with the LNG-IUS (42.8% vs. 31.2%; p < 0.001). The perception of increased risk of contracting a sexual transmitted disease did not differ between the methods (IUD vs. LNG-IUS, 21.7% vs. 20.3%; p = 0.388).Conclusions: Respondents to a web-based survey in four Latin American countries have misperceptions regarding the adverse effects and risks of intrauterine contraception, which may hamper the use of these safe and efficient contraceptive methods. Education about the true risks and benefits involved is fundamental to improving patient acceptance and compliance as well as reducing unplanned pregnancies and unsafe abortions.
local.publisher.countryBrasil
local.publisher.departmentMED - DEPARTAMENTO DE GINECOLOGIA OBSTETRÍCIA
local.publisher.initialsUFMG
local.url.externahttps://www.tandfonline.com/doi/abs/10.3109/13625187.2015.1137281?journalCode=iejc20

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