The myth of menstruation: how menstrual regulation and suppression impact contraceptive choice
Loading...
Authors
DeMaria, Andrea L
Sundstrom, Beth
Meier, Stephanie
Wiseley, Abigail
Issue Date
2019-10-28
Type
Article
Language
en_US
Keywords
Menstruation , Contraceptive Decision-making , Contraceptive Choice
Alternative Title
Abstract
Background: Women in the US have access to various hormonal contraceptive methods that can regulate menstruation. This study examined the attitudes and perceptions of reproductive-aged women toward contraceptive methods, including how menstrual regulation and suppression preferences influenced contraceptive choice.
Methods: Data collection used a mixed-methods approach, including 6 focus groups (n = 61), individual interviews (n = 18), and a web-based survey (n = 547).
Results: Participants described contraceptive method preferences that allowed monthly bleeding and daily control, expressing concerns about long-acting reversible contraception (LARC) because of decreased user involvement. Some participants noted LARC improved their menstrual control. Many participants felt menstruation was healthy, whereas suppression was abnormal and resulted in negative health outcomes. Though participants indicated LARC as beneficial (M = 4.99 ± 1.66), convenient (M = 5.43 ± 1.68), and healthy (M = 4.62 ± 1.69), they chose combined oral contraceptives due to convenience.
Conclusions: Findings suggest women need more information about menstrual regulation and suppression before selecting a contraceptive method, specifically in relation to LARC versus combined oral contraception. Framing menstrual suppression as healthy and natural may improve perceptions of long-term health consequences related to LARC. Providers should discuss menstrual suppression safety to ensure selection of contraceptive options aligning with women's preferences and needs.
Description
Citation
DeMaria, A. L., Sundstrom, B., Meier, S., & Wiseley, A. (2019). The myth of menstruation: how menstrual regulation and suppression impact contraceptive choice. BMC women's health, 19(1), 125. https://doi.org/10.1186/s12905-019-0827-x
Publisher
BMC Women's Health