Determinants of Satisfaction from Depot Medroxyprogesterone Acetate, Cyclofem, and Low Dose Contraceptive Pills: A Descriptive Study on Health Centers in Iran

Document Type : Original Article (s)

Authors

1 Department of Midwifery, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran

2 Department of Midwifery, Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran

3 Faculty Member, Department of Midwifery, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran

4 Associate Professor, Department of Obstetrics and Gynecology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

Background: One way to achieve a healthy society is population control and providing effective contraceptive methods. Hormonal contraceptives are the most effective method of birth control. However, their satisfaction rate is affected by many factors. We aimed to study the effective factors on satisfaction from contraceptives including Depot Medroxyprogesterone Acetate (DMPA), Cyclofem, and low dose (LD) in women who referred to health centers in Isfahan, Iran. Methods: This descriptive comparative study was conducted on 150 women who were selected using non-probability sampling during April-October 2010. The subjects were using receive DMPA, Cyclofem, or LD pills for the first time or had used them for less than three months. Data was collected through face to face interviews using a standard questionnaire called ORTHO Birth Control Satisfaction Assessment Tool (BC-SAT) three months after consumption. The data was analyzed using descriptive and inferential statistics. Findings: Cyclofem gained the highest mean satisfaction score. There were no significant differences in mean total satisfaction scores assigned by three groups. Although the three groups had significant differences in mean satisfaction scores in ease of use, menstrual impact, and compliance/adherence, no statistically significant differences were observed in lifestyle impact, assurance/confidence, side effects, future fertility concerns, and overall satisfaction. Conclusion: Satisfaction from hormonal contraceptives is influenced by many factors such as knowledge, information, lifestyle, religion, side effects, understanding of individual and others, anxiety, and concerns. On the other hand, satisfaction will in turn influence on the attitudes of individuals. Keywords: Contraceptive, Satisfaction, Depot medroxyprogesterone acetate, Cyclofem, Low dose