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Unscheduled bleeding and contraceptive choice: increasing satisfaction and continuation rates

机译:计划外出血和避孕选择:增加满意度和持续率

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Approximately half (51%) of the 6.6 million pregnancies in the US each year are unintended and half of those pregnancies (54%) occur among women not using contraception. Many women discontinue their contraceptives due to method dissatisfaction. Bothersome unscheduled bleeding is one of the main reasons cited by women for stopping a birth control method. Improving counseling and management of these side effects will aide in increasing satisfaction with contraceptive methods. The following review will discuss the bleeding profiles associated with the contraceptive options available in the US. A valuable resource from the Centers for Disease Control and Prevention, the US Selected Practice Recommendations for Contraceptive Use, will be introduced. Definitions of the types of unscheduled bleeding are included, as well as strategies for treatment for each contraceptive method. The evidence whether or not anticipatory counseling increases continuation rates will also be reviewed.
机译:每年在美国660万例怀孕中,约有一半(51%)是意外的,而这些怀孕的一半(54%)发生在未使用避孕措施的女性中。由于方法不满意,许多妇女停止使用避孕药具。计划外的麻烦性出血是妇女停止使用节育方法的主要原因之一。改善对这些副作用的咨询和管理将有助于提高对避孕方法的满意度。以下评论将讨论与美国现有的避孕方法相关的出血情况。美国疾病控制与预防中心的宝贵资源,《美国避孕方法精选实践建议》将被介绍。包括计划外出血类型的定义,以及每种避孕方法的治疗策略。预期咨询是否会增加继续率的证据也将被审查。

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