Satisfação das mulheres face ao padrão hemorrágico com métodos contracetivos

Abstract

Overview and Aims: Contraceptive methods can modify a woman's menstrual cycle, which can be perceived as negative, depending on the standard obtained and the individual characteristics of the user. This is an important factor in non-adherence to the contraceptive method. This study aims to gain a deeper understanding of women's satisfaction with their bleeding patterns, as well as their willingness to switch from a contraceptive to one with the desired bleeding pattern. Study design: Cross-sectional observational study. Population: Premenopausal women between 18 and 50 years old. Results: A total of 228 women responded to the follow-up, with an average of 29.40 years (95%CI 28.30-30-50), an education level between bachelor's and collage degree (M=5.31, 95%CI 5.11 -5.51) and the majority did not have children (M=0.30, 95%CI 0.24-0.36). In general, they have a monthly uterine hemorrhage (M=1.78, 95%CI 1.68-1.87), with a relatively regular rhythm (M=0.76, 95%CI 0.70-0.81), a moderate flow (M=1.88, 95%CI 1.79-1.96), with an average duration of 5.52 days (95%CI 5.03-6.01), dysmenorrhea classifying an average of 4.34 on the numerical pain scale (95%CI 3.98-4.69) and intermenstrual bleeding mean of 0.57 (95%CI 0.43-0.71). In general, participants are relatively satisfied with their current bleeding pattern (M=3.56; 95%CI 3.40-3.71), but 42% want to change (M=0.42; 95%CI 0.35 -0.48) and about half want to have amenorrhea (M=0.48; 95%CI 0.41-0.54). Discussion: An important group of women want to change their contraceptive method to change their bleeding pattern, and practically half of the women (M=0.48) want to have amenorrhea. It is important for health professionals to give information about the expected bleeding patterns with each contraceptive method, in order to be able to make a more appropriate choice for each woman.