Self-described impact of noncompliance among users of a combined hormonal contraceptive method.
BACKGROUND
A number of factors related to the user and the method affect contraceptive compliance.


METHODS
This cross-sectional multicenter study was designed to assess self-described impact of noncompliant behavior among 26,250 typical users of a combined hormonal contraceptive method who consulted their physicians for control visits. A self-administered questionnaire was completed.


RESULTS
Sixty-five percent of women used the pill, 23% the vaginal ring and 12% the transdermal patch. Noncompliant behavior (missing/delays in taking/application, insertion or removal of the pill/skin patch/vaginal ring) was recorded in 71% of pill users, 32% of patch users and 21.6% of vaginal ring users (p<.0001). Emergency contraception was requested by 14% of pill users, 11% of patch users and 6.3% of ring users. About 40% of women in all groups called or visited a physician. Seventy percent of women continued to have active sex life, and 60% used an additional contraceptive method. Noncompliant behavior negatively affected work activities and/or couple relationships in 10-20% of cases. More than 50% of women reported they were worried and about 20% were scared due to inconsistent use of the contraceptive method. After filling out the questionnaire, 64.7% of pill users continued to prefer the pill, 61.7% of patch users preferred the patch and 96.6% of women using the vaginal ring preferred the ring.


CONCLUSIONS
Noncompliant behavior had noticeable effects on emotional well-being, prompted request for physicians' advice, and use of emergency contraception. Despite recognition of problems associated with inconsistent use, women tended to prefer the currently used contraceptive method.
Lete
Iñaki
I
Department of Obstetrics and Gynecology, Hospital Santiago Apóstol, Olauíbel 29, Vitoria-Gasteiz, Spain. ilete@hsan.osakidetza.net
Doval
José Luis
JL
Pérez-Campos
Ezequiel
E
Lertxundi
Roberto
R
Correa
Marta
M
de la Viuda
Esther
E
Gómez
María Angeles
MA
González
José Vicente
JV
Martínez
María Teresa
MT
Mendoza
Nicolás
N
Robledo
Javier
J
D000279:Administration, Cutaneous; D000282:Administration, Intravaginal; D000293:Adolescent; D000328:Adult; D001294:Attitude to Health; D003277:Contraceptives, Oral, Combined; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008875:Middle Aged; D010349:Patient Compliance / Q000523:psychology*; D013030:Spain; D011795:Surveys and Questionnaires; D047568:Unsafe Sex
D003277:Contraceptives, Oral, Combined