Women's Attitude towards Menstrual Irregularities Associated with Progestogen-Only Contraceptives pp. 133-148
Authors: (Omar M. Shaaban, Ali M. El-Saman, Hany Abdel Aleem, Department of Obstetrics and Gynecology, Faculty of Medicine, Assiut University, Egypt)
Abstract: What women accept regarding their menstrual pattern is still and will remain a matter of difference of opinion between different cultures. While a group of women (mostly in the developed world) consider menstruation a source of annoyment and embarrassment, others (mainly in the developing countries) consider regular menstruation as a sign of health and femininity. The balance between the positive and negative attitudes of women toward their menstruation has been shown to be dependent on many factors including women's age, role in the society, sexual life, religion and socio-economic status. These attitudes as well as its determinants are changeable overtime. Consequently, women attitude towards their menstruation and its irregularities in different cultures requires continuous update. Progestogen-only methods of contraception (POCs) are popular on account of several use merits. However, they suffer from high discontinuation rates due to their associated menstrual disturbances. A problem that is so far still has eluded etiology and has no effective rational treatment. Every effort should thus be made to improve the clinical performance of the currently available POCs primarily as regard the associated menstrual pattern. Until such development takes place, understanding women's perception towards menstrual irregularities associated with these methods is very crucial. This is very important in counseling women prior and during the use of these methods. Service providers should have and avail adequate times for this counseling. Understanding these attitudes can also help researchers in better refining the goal of therapy.