Cross-sectional evaluation of the impact of information on flexible extended regimens of oral contraceptives in the choices made by women seeking contraceptive counselling: the FLEXO study
Por:
Lete I, Calleja J, Pérez-Campos E, de la Viuda E, Lertxundi R, Martínez M, Quesada M and Sánchez-Borrego R
Publicada:
1 ene 2018
Resumen:
Objective: Oral combined hormonal contraceptives (CHCs) are available that limit the number of menses when used in a flexible extended regimen. Our aim was to investigate the decision-making processes of women presented with a flexible extended CHC option.
Methods: The FLEXO study is an epidemiological, cross-sectional, multicentre study conducted under typical clinical practice conditions to determine women's acceptance of a flexible continuous CHC regimen versus a cyclical 21/7 day regimen, after receiving standardised information during contraceptive counselling.
Results: A total of 1350 women were invited to participate, of whom 1156 were enrolled. Of these, 47.2% chose the flexible extended CHC regimen. Their main reason for choosing this regimen was to reduce the number of menses (25.7%), followed by the desire to avoid symptoms related to menstruation (21.6%). The reasons given for rejecting this regimen were the desire to have monthly menstrual cycles (24.9%) and the fear of becoming pregnant and not being aware of it due to the absence of menstruation (18.1%).
Conclusion: Many women chose the extended flexible regimen when they received information about this option. Women primarily chose this pattern to relieve or eliminate discomfort related to menstruation.
Filiaciones:
Lete I:
a Department of Obstetrics and Gynaecology , University Hospital of Araba , Vitoria-Gasteiz , Spain
Calleja J:
b Bmum Clinic , Madrid , Spain
:
c Department of Obstetrics and Gynaecology , Associated University Hospital of Requena , Requena , Spain
de la Viuda E:
d Department of Obstetrics and Gynaecology , University Hospital of Guadalajara , Guadalajara , Spain
Lertxundi R:
e Euskalduna Clinic , Bilbao , Spain
Martínez M:
f Department of Obstetrics and Gynaecology , Hospital Virgen Macarena , Seville , Spain
Quesada M:
g Unit of Sexual and Reproductive Health , Campoamor , Spain
Sánchez-Borrego R:
h Diatros Clinic , Barcelona , Spain
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