Preferences for contraceptive methods in women in the age aspect

Rationale. Contraception is an important aspect in preventing the reduction of female infertility by preventing abortions leading to the development of gynecological diseases and psychological stresses.

Purpose. Study the contraceptive behavior of women in the age aspect in a large center of Western Siberia.

Materials and methods. A study was conducted to study the methods of contraception used in women of different ages using a questionnaire, which included 313 women. All women were divided into 4 research groups: in group A, the age of girls (43 people) ranged from 16 to 18 years; group B included women aged 19–35 years (147 respondents), group C – 36–45 years (79 women) and group G – from 46 to 52 years (44 people). The criteria for inclusion in the study were: women living sex and using any methods of pregnancy prevention. Exclusion criteria: age of women under 16 years, age of 53 years and older.

Study results. Girls under the age of 18 who live sexually use traditional (less effective) methods of contraception (88.4%) are 1.5 times more likely than women of the heyday (57.8%), and 2.8 times more likely than women of the transitional menopause (31.8%). Modern hormonal methods of contraception were more often used at the age of 19–35 years (in 35.4% of observations), at the age of 36–45 years (in 53.2%), while in the group of women 46–52 years more often than in other groups hormonal intrauterine contraceptives were used (11.4%). Contraindications to the use of hormonal contraceptives were most often in transition (20.5%), with smoking being the most common contraindication.

Conclusion. Adherence to modern hormonal methods of contraception, which are more reliable and effective, comes to women with age, while combined oral contraceptives are most often used. Hormonal contraceptive drugs were used in 22.7 % of respondents of the transition period for therapeutic purposes (more often the intrauterine hormonal system), while in reproductive age hormonal contraceptives were used for the same purpose in 12.7–16.6 % of women. The longest duration of hormonal contraception was in groups of women over the age of 46: 13.6 % of respondents used it for more than 15 years.

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