Contraceptive discontinuation attributed to method dissatisfaction in the United States

Caroline Moreau, Kelly Cleland, James Trussell

Research output: Contribution to journalArticle

Abstract

Background: This study examines contraceptive discontinuation due to method dissatisfaction among women in the United States. Study Design: The study population, drawn from the 2002 National Survey of Family Growth, consisted of 6724 women (15-44 years of age) who had ever used a reversible contraceptive method. We first estimated the overall proportion of women who had ever discontinued their contraceptive due to dissatisfaction. We then calculated method-specific discontinuation risks due to dissatisfaction and analyzed the reasons for dissatisfaction given by women who had ever stopped using Norplant, Depo-Provera, oral contraceptives or condoms. Results: Overall, 46% of women had ever discontinued at least one method because they were unsatisfied with it. Dissatisfaction-related discontinuation risks varied widely by method: the diaphragm and cervical cap showed the highest proportions of such discontinuation (52%), followed by long-acting hormonal methods (42%). Oral contraceptives were associated with an intermediate risk of dissatisfaction-related discontinuation (29%), while condoms had the lowest risk (12%). Conclusion: A broader understanding of women's concerns and experiences using contraception could help health care providers redesign counseling strategies to improve contraceptive continuation.

Original languageEnglish (US)
Pages (from-to)267-272
Number of pages6
JournalContraception
Volume76
Issue number4
DOIs
StatePublished - Oct 1 2007
Externally publishedYes

Keywords

  • Contraceptive discontinuation
  • Contraceptive dissatisfaction
  • Contraceptive failure
  • Population based survey

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology

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