Abstract
Despite the easy access to contraception today, the rate of unintended pregnancies is still high because of scarce education among women on the methods available and of non-adherence to indications or discontinuation of the contraceptive method chosen. Adherence to contraception can be implemented through counseling programs intended to provide potential users with information regarding all contraceptive options available and to address women's concerns in line with their lifestyle, health status, family planning, and expectations. In here, we evaluate a multi-step decisional path in contraceptive counseling, with specific focus on potential users of long-acting release contraception etonorgestrel. We propose an algorithm about the management of possible issues associated with the use of subcutaneous contraceptive implant, with a special focus on eventual changes in bleeding patterns. We hope our experience may help out health-care providers (HCPs) to provide a brief but comprehensive counseling in family planning, including non-oral routes of contraceptive hormones. Indeed, we believe that a shared and informed contraceptive choice is essential to overcome eventual side-effects and to improve compliance, rate of continuation and satisfaction, especially with novel routes of administration.
| Original language | English |
|---|---|
| Pages (from-to) | 525-531 |
| Number of pages | 7 |
| Journal | Gynecological Endocrinology |
| Volume | 30 |
| Issue number | 7 |
| DOIs | |
| Publication status | Published - 2014 |
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Keywords
- Adherence
- Contraception
- Gynecological counseling
- Reproductive health
- Subdermal implant
ASJC Scopus subject areas
- Endocrinology
- Endocrinology, Diabetes and Metabolism
- Obstetrics and Gynaecology
- Medicine(all)
Cite this
Counseling and management of patients requesting subcutaneous contraceptive implants : Proposal for a decisional algorithm. / Guida, Maurizio; Visconti, Federica; Cibarelli, Francesca; Granozio, Giovanni; Troisi, Jacopo; Martini, Ellis; Nappi, Rossella.
In: Gynecological Endocrinology, Vol. 30, No. 7, 2014, p. 525-531.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Counseling and management of patients requesting subcutaneous contraceptive implants
T2 - Proposal for a decisional algorithm
AU - Guida, Maurizio
AU - Visconti, Federica
AU - Cibarelli, Francesca
AU - Granozio, Giovanni
AU - Troisi, Jacopo
AU - Martini, Ellis
AU - Nappi, Rossella
PY - 2014
Y1 - 2014
N2 - Despite the easy access to contraception today, the rate of unintended pregnancies is still high because of scarce education among women on the methods available and of non-adherence to indications or discontinuation of the contraceptive method chosen. Adherence to contraception can be implemented through counseling programs intended to provide potential users with information regarding all contraceptive options available and to address women's concerns in line with their lifestyle, health status, family planning, and expectations. In here, we evaluate a multi-step decisional path in contraceptive counseling, with specific focus on potential users of long-acting release contraception etonorgestrel. We propose an algorithm about the management of possible issues associated with the use of subcutaneous contraceptive implant, with a special focus on eventual changes in bleeding patterns. We hope our experience may help out health-care providers (HCPs) to provide a brief but comprehensive counseling in family planning, including non-oral routes of contraceptive hormones. Indeed, we believe that a shared and informed contraceptive choice is essential to overcome eventual side-effects and to improve compliance, rate of continuation and satisfaction, especially with novel routes of administration.
AB - Despite the easy access to contraception today, the rate of unintended pregnancies is still high because of scarce education among women on the methods available and of non-adherence to indications or discontinuation of the contraceptive method chosen. Adherence to contraception can be implemented through counseling programs intended to provide potential users with information regarding all contraceptive options available and to address women's concerns in line with their lifestyle, health status, family planning, and expectations. In here, we evaluate a multi-step decisional path in contraceptive counseling, with specific focus on potential users of long-acting release contraception etonorgestrel. We propose an algorithm about the management of possible issues associated with the use of subcutaneous contraceptive implant, with a special focus on eventual changes in bleeding patterns. We hope our experience may help out health-care providers (HCPs) to provide a brief but comprehensive counseling in family planning, including non-oral routes of contraceptive hormones. Indeed, we believe that a shared and informed contraceptive choice is essential to overcome eventual side-effects and to improve compliance, rate of continuation and satisfaction, especially with novel routes of administration.
KW - Adherence
KW - Contraception
KW - Gynecological counseling
KW - Reproductive health
KW - Subdermal implant
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UR - http://www.scopus.com/inward/citedby.url?scp=84903138495&partnerID=8YFLogxK
U2 - 10.3109/09513590.2014.899348
DO - 10.3109/09513590.2014.899348
M3 - Article
C2 - 24720344
AN - SCOPUS:84903138495
VL - 30
SP - 525
EP - 531
JO - Gynecological Endocrinology
JF - Gynecological Endocrinology
SN - 0951-3590
IS - 7
ER -