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Broad Counseling for Adolescents About Combined Hormonal Contraceptive Methods: The Choice Study

Authors
  • Merki-Feld, Gabriele S.
  • Gruber, Isabel M.L.1, 2, 3, 4
  • 1 Division of Reproductive Endocrinology
  • 2 University Hospital
  • 3 Division of Medical Affairs
  • 4 MSD Merck Sharp and Dohme AG
Type
Published Article
Journal
Journal of Adolescent Health
Publisher
Elsevier
Publication Date
Jan 01, 2014
Accepted Date
Jun 22, 2013
Volume
54
Issue
4
Pages
404–409
Identifiers
DOI: 10.1016/j.jadohealth.2013.06.019
Source
Elsevier
Keywords
License
Unknown

Abstract

PurposeThe Contraceptive Health Research of Informed Choice Experience study involved 11 European countries with the goal of evaluating the influence of counseling on the user's choice among three different types of combined hormonal contraceptive (CHC) administration: pill, transdermal patch, and vaginal ring. Here, we report the results of the youngest age group (age 15–20 years) for Switzerland. MethodsA total of 1,032 adolescent women who contemplated a CHC form of contraception were counseled about the three CHCs. Questionnaires were filled out to determine the women's preferred choice before and after counseling, and the reason for their final decision. ResultsAfter counseling, more than one third of the women decided to use a different contraceptive method than initially intended. The fraction of vaginal ring users increased from 7.5% to 21.8%, and that of patch users from 3.3% to 5.8%. At pre-counseling, 225 women had no preconceived idea about which method to choose. Only 29 women were still undecided post-counseling. The main reasons adolescent women chose the vaginal ring or the patch were the monthly or weekly use and the ease of use. ConclusionsAdolescent women's decision about which CHC to use is greatly influenced by counseling that provides balanced information on all CHCs.

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