Factors influence copper intrauterine device eexual acceptability in Egypt
1: Health Care, Egypt
Objective:To assess the factors which could affect sexual acceptability,compliance and continuation of Egyptian women with Copper IUD.
Methods:A total of 162 women who had used Copper IUD 380A from one day to ten years, were referred to Al Hussein University Hospital,and consented to participate in this study.Data collection was obtained over a period of six months, via questionnaire on variables that could influence both contraceptive choice and sexual outcome.Which includes,socio-demographic characteristics,content of the counselling dialogue,partners’ involvement,sexually transmitted infections (STIs) screening,, side effects of IUD,and its sexual impact.Neither Female Sexual Function Index (FSFI) nor psychologic factors were documented in this study.
Results: Of the total sample,78 (48%) were educated (high&middle education),of them 39(50%) had reduced empowerment and 84 (52 %) were non-educated,of them 75 (90%) had reduced empowerment.The women’s residences were 56(32%) in rural areas and 106(68%) in marginal urban areas.54 (33%) reported prolonged bleeding and spotting.83 (51%) suffered from pelvic pain and dyspareunia. Male partners refused to use condoms or to share with their women medications for genital infections. 28 (17%) reported strings to poke their partners. 49 (30 %) reported positive impact on sexuality by feeling in control over pregnancy and tolerated the side effects of the IUDs.85(52%) reported negative impact on sexuality(abstinence,dyspareunia,strings poking partners),of them 26 (30%) had malpositioned IUDs ,7(8%) had pregnancies with IUDs and the remaining 52(62%) requested removal of the IUDs.28 (17%) reported no change on sexuality.No STIs screening was performed.Only30(18.5%) received counselling for IUDs, 20 of them (66.6%) had incomplete dialogues.Sexual criteria and partners' involvement were not included in the counselling. 6 (4.4 %) requested removal of IUDs for the purposes of worship.
Conclusion:Sexuality was not of interest to most Egyptian women using IUDs and they were socialized to be more partner- oriented in sex.Therefore,sexual criteria and partners' involvement should be integrated into the contraceptive counselling protocol to ensure safe, satisfactory sex and contraception.Many efforts are needed to stop malpractice of IUDs in Egypt(poor training&flawed system).Implementing screening program for STIs is recommended.Provision of up to date medications for the side effects and governmental support to ensure the availability of hormonal IUDs in the public sectors are essential.Finally,Proper councelling dialogue,skillful training of the health care providers, as well as social and sexual empowerment of women can make a great difference.
Work supported by industry: no. The presenter or any of the authors act as a consultant, employee (part time or full time) or shareholder of an industry.Go Back