Assessment of reasons for discontinuation of different methods of contraception

Abstract

In this study, we have evaluated the duration of using, complications andcauses of discontinuation of each of common contraceptive methods. This descriptive-analytic study was performed in Tabriz over 500 women using one of contraceptive methods which have been discontinued that for any reason. Analysis of data was performed by SPSS software and Chi square statistical test. The most common causes of contraceptive discontinuation were including severe bleeding (IUDs), medical complications (OCPs), bleeding (minipill), amenorrhea (DMPA), bleeding and spotting (Norplant) andfear of being pregnant (candom). These relationships were statistically significant. Also, the relation between literate level and the type of used contraception was significant, so that low-literate women had used from IUD, DMPA andOCP andhigh-literate cases had used from candom. There was no significant relation between the type of prior deliveries and the used method of contraception. The women with sufficient children number, had used often from IUD and those with less children number had used often from minipill or condom and the relation between the sufficiency of children and the used method of contraception was significant. Because of long-standing use from IUDs as an effective method and its discontinuation because of severe bleeding we recommend using from progesterone releasing IUDs which decrease bleeding rate. Also, this study showed that male partner's influence is associated with contraceptive use.