Non-daily contraception: Reinforcing the choice of users and addressing unmet needs of reproductive health

IF 3.5 2区 医学 Q1 OBSTETRICS & GYNECOLOGY Acta Obstetricia et Gynecologica Scandinavica Pub Date : 2024-12-20 DOI:10.1111/aogs.15014
Helena Kopp Kallner, Ingela Lindh, Kristina Gemzell-Danielsson
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Abstract

Despite great societal efforts promoting female autonomy, Sweden still faces unmet contraceptive needs, with abortion rates being the highest in the Nordic countries. In this commentary, we discuss using non-daily contraception options to combat these unmet needs. Non-daily methods include transdermal (i.e., patch), ring, injectables, and long-acting reversible contraception (LARC). Numerous studies have revealed that users prefer non-daily methods, and studies implementing structured counseling have revealed an increase in non-daily methods. Relative to LARC, the patch and the ring are non-daily parenteral methods that offer the possibility for self-management. Ultimately, client-centered counseling and shared decision-making are crucial for increasing awareness of all methods and enhancing method utilization and adherence. Finally, dispelling myths surrounding reversible hormonal contraception is essential for empowering women to make informed choices and improving overall reproductive health outcomes.

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非每日避孕:加强使用者的选择,解决生殖健康方面未得到满足的需要。
尽管社会为促进女性自主做出了巨大努力,但瑞典仍然面临避孕需求未得到满足的问题,其堕胎率是北欧国家中最高的。在这篇评论中,我们讨论使用非日常避孕选择来对抗这些未满足的需求。非日常避孕方法包括透皮(即贴片)、环、注射和长效可逆避孕(LARC)。大量研究表明,用户更喜欢非日常方法,实施结构化咨询的研究表明,非日常方法有所增加。相对于LARC,贴片和环是非日常的肠外方法,提供了自我管理的可能性。最终,以客户为中心的咨询和共同决策对于提高所有方法的认识和提高方法的利用率和依从性至关重要。最后,消除围绕可逆激素避孕的神话对于增强妇女权能做出知情选择和改善总体生殖健康结果至关重要。
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来源期刊
CiteScore
8.00
自引率
4.70%
发文量
180
审稿时长
3-6 weeks
期刊介绍: Published monthly, Acta Obstetricia et Gynecologica Scandinavica is an international journal dedicated to providing the very latest information on the results of both clinical, basic and translational research work related to all aspects of women’s health from around the globe. The journal regularly publishes commentaries, reviews, and original articles on a wide variety of topics including: gynecology, pregnancy, birth, female urology, gynecologic oncology, fertility and reproductive biology.
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