Twenty-eight-day oral contraceptives: physician and user attitudes.

Abstract:

:A 28-day regimen of oral contraceptives that uses seven iron tablets (each containing 75 mg of ferrous fumarate) instead of seven sugar placebos was designed to encourage user compliance. To determine professional and user attitudes toward the 28-day regimen, 192 obstetrician-gynecologists and 469 women who used oral contraceptives were surveyed. Over two-thirds of the physicians stated that they approved both the 28-day regimen and the inclusion of the seven iron tablets. Over 80% of the women surveyed expressed approval of a 28-day regimen that included seven iron tablets. :A 28-day cycle of low-dose oral contraceptives (OCs) that uses 7 placebo sugar tablets after the 21 active hormone tablets is prescribed by the majority of physicians who dispense OCs. Given concern that users may not accept the sugar tablets, a packet that uses 7 iron tablets rather than sugar placebos has been developed. To assess professional and user attitudes toward this option, 192 obstetrician-gynecologists and 469 OC users were surveyed in 1986-87. 130 (69%) of the physicians surveyed indicated a preference for a 28-day OC regimen over a 21-day regimen and 71% indicated they would prefer 7 iron tablets to 7 sugar placebos. The 469 user respondents completed 6 cycles of a 28-day OC regimen containing 7 75-mg tablets of ferrous fumarate. 84% of these women liked the idea of using iron tablets as a convenient way to maintain the contraception schedule. Of the 150 women who had previously taken OCs on a 21-day schedule, 86% indicated a preference for the 28-day regimen. Given these high rates of patient and professional acceptability and the potential of iron-containing placebo tablets to enhance user compliance, this option should be made available to all women who present for OC use.

journal_name

Clin Ther

journal_title

Clinical therapeutics

authors

Richards-Brandt M

subject

Has Abstract

pub_date

1988-01-01 00:00:00

pages

259-62

issue

3

eissn

0149-2918

issn

1879-114X

journal_volume

10

pub_type

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