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Brief CommunicationBrief Communication
Open Access

How do contraception preferences change over time? Eight years of experience in a tertiary hospital

Merve A. Talmac, Seyma C. Yuksek, Selim Afsar, Aysegul Bestel, Izel Gunay and Ismail Ozdemir
Saudi Medical Journal January 2024, 45 (1) 93-97; DOI: https://doi.org/10.15537/smj.2024.45.1.20230348
Merve A. Talmac
From the Department of Gynecological Oncology (Talmac, Afsar); from the Department of Obstetrics and Gynecology (Gunay), Basaksehir Cam and Sakura State Hospital, University of Health Sciences, and from the Department of Obstetrics and Gynecology (Yuksek, Bestel, Ozdemir), Kanuni Sultan Suleyman Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.
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  • For correspondence: [email protected]
Seyma C. Yuksek
From the Department of Gynecological Oncology (Talmac, Afsar); from the Department of Obstetrics and Gynecology (Gunay), Basaksehir Cam and Sakura State Hospital, University of Health Sciences, and from the Department of Obstetrics and Gynecology (Yuksek, Bestel, Ozdemir), Kanuni Sultan Suleyman Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.
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Selim Afsar
From the Department of Gynecological Oncology (Talmac, Afsar); from the Department of Obstetrics and Gynecology (Gunay), Basaksehir Cam and Sakura State Hospital, University of Health Sciences, and from the Department of Obstetrics and Gynecology (Yuksek, Bestel, Ozdemir), Kanuni Sultan Suleyman Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.
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Aysegul Bestel
From the Department of Gynecological Oncology (Talmac, Afsar); from the Department of Obstetrics and Gynecology (Gunay), Basaksehir Cam and Sakura State Hospital, University of Health Sciences, and from the Department of Obstetrics and Gynecology (Yuksek, Bestel, Ozdemir), Kanuni Sultan Suleyman Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.
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Izel Gunay
From the Department of Gynecological Oncology (Talmac, Afsar); from the Department of Obstetrics and Gynecology (Gunay), Basaksehir Cam and Sakura State Hospital, University of Health Sciences, and from the Department of Obstetrics and Gynecology (Yuksek, Bestel, Ozdemir), Kanuni Sultan Suleyman Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.
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Ismail Ozdemir
From the Department of Gynecological Oncology (Talmac, Afsar); from the Department of Obstetrics and Gynecology (Gunay), Basaksehir Cam and Sakura State Hospital, University of Health Sciences, and from the Department of Obstetrics and Gynecology (Yuksek, Bestel, Ozdemir), Kanuni Sultan Suleyman Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.
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Article Figures & Data

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    Table 1

    - Demographic characteristics of the patients.

    VariablesGroup I (n=1371)Group II (n=1371)
    Age (years)31.38±6.7332.24±6.65
    18-24226 (16.5)203 (14.8)
    25-401000 (72.9)1010 (73.7)
    41-53145 (10.6)158 (11.5)
    Gravity3.41±1.833.33±1.68
    Parity2.57±1.342±1.20
    Abortus0.64±0.980.63±0.94
    Curetage0.18±0.40.13±0.34
    Education
    None138 (10.1)123 (9.0)
    Preschool7 (0.5)10 (0.7)
    Elementary school790 (57.6)613 (44.7)
    Middle school171 (12.5)303 (22.1)
    High school205 (15.0)229 (16.7)
    University30 (2.2)64 (4.7)
    Master’s degree2 (0.1)2 (0.1)
    Doctorate28 (2.0)27 (2.0)

    Values are presented as numbers and precentages (%) or mean ± standard deviation (SD).

      • View popup
      Table 2

      - Recommended methods of contraception by age groups.

      Recommended methodsAge (years)
      18-2425-4041-53
      None1 (0.2)3 (0.1)0 (0.0)
      Condom41 (9.6)217 (10.8)99 (32.7)
      IUD352 (82.1)1516 (75.4)161 (53.1)
      Depo-Provera9 (2.1)63 (3.1)2 (0.7)
      OCP16 (3.7)113 (5.6)16 (5.3)
      MPA8 (1.9)34 (1.7)13 (4.3)
      BTL2 (0.5)62 (3.1)9 (3.0)
      LNG-RIA0 (0.0)2 (0.1)3 (1.0)

      Values are presented as numbers and precentages (%). IUD: intrauterine device, OCP: oral contraceptive pill, MPA: medroxyprogesterone acetate, BTL: bilateral tubal ligation, LNG-RIA: levonorgestrel-releasing intrauterine system

        • View popup
        Table 3

        - Differences in recommended and at admission methods of contraception by the groups.

        Study outcomesGroup I (n=1371)Group II (n=1371)P-values
        At admission contraceptive method
        None155 (11.3)30 (2.2)<0.001
        Coitus interruptus788 (57.5)978 (71.3)<0.001
        Condom134 (9.8)91 (6.6)<0.001
        IUD169 (12.3)165 (12.0)0.06
        Depo-Provera23 (1.7)23 (1.7)0.5
        OCP84 (6.1)69 (5.0)<0.001
        MPA16 (1.2)14 (1.0)0.003
        LNG-RIA2 (0.1)1 (0.1)<0.001
        Recommended contraceptive method
        None2 (0.1)2 (0.1)0.5
        Condom224 (16.3)153 (9.7)<0.001
        IUD941 (68.0)1088 (79.4)<0.001
        Depo-Provera41 (3.0)33 (2.4)<0.001
        OCP71 (5.2)74 (5.4)0.013
        MPA25 (1.8)30 (2.2)<0.001
        BTL65 (4.7)8 (0.6)<0.001
        LNG-RIA2 (0.1)3 (0.2)0.06

        Values are presented as numbers and precentages (%). IUD: intrauterine device, OCP: oral contraceptive pill, MPA: medroxyprogesterone acetate, BTL: bilateral tubal ligation, LNG-RIA: levonorgestrel-releasing intrauterine system

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        How do contraception preferences change over time? Eight years of experience in a tertiary hospital
        Merve A. Talmac, Seyma C. Yuksek, Selim Afsar, Aysegul Bestel, Izel Gunay, Ismail Ozdemir
        Saudi Medical Journal Jan 2024, 45 (1) 93-97; DOI: 10.15537/smj.2024.45.1.20230348

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        How do contraception preferences change over time? Eight years of experience in a tertiary hospital
        Merve A. Talmac, Seyma C. Yuksek, Selim Afsar, Aysegul Bestel, Izel Gunay, Ismail Ozdemir
        Saudi Medical Journal Jan 2024, 45 (1) 93-97; DOI: 10.15537/smj.2024.45.1.20230348
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        Keywords

        • contraception
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