Fruzzetti F, Paoletti A Maria, Lombardo M, Carmignani A, Genazzani A Riccardo
Department of Obstetrics and Gynaecology, University of Pisa, Pisa, Italy.
Eur J Contracept Reprod Health Care. 2008 Jun;13(2):153-7. doi: 10.1080/13625180701800672.
Perceptions of menstruation vary according to culture and religion. This study addresses attitudes of Italian women towards changes in menstrual frequency induced by oral contraceptives (OCs) administered in an extended regimen.
Three-hundred-and-fifty healthy women of reproductive age were enrolled in three test areas in Italy. Participants completed a standardized questionnaire. One-hundred-and-ten men, aged 21-54 years, accompanying their partners to the gynaecological consultation were also given a questionnaire to get to know their opinion about the extended use of OCs by their partner.
Only 32% of Italian women prefer to bleed monthly. The preferred frequencies in all age groups were 3-monthly (23.7%) or never (26%). Of the OC-users, 57.2% preferred to bleed less than once a month: 26% wished to bleed every 3 months, and 21.2% once a year. Among men, 58.1% considered an extended OC regimen to be acceptable.
About 60% of Italian women with spontaneous or OC-driven cycles prefer to bleed less than monthly. This fact should be kept in mind by physicians when prescribing OCs.
对月经的认知因文化和宗教而异。本研究探讨意大利女性对口服避孕药（OCs）延长疗程导致月经频率变化的态度。
350名健康育龄期女性在意大利的三个测试地区入组。参与者完成一份标准化问卷。110名年龄在21至54岁之间、陪同伴侣进行妇科咨询的男性也被给予一份问卷，以了解他们对伴侣延长使用OCs的看法。
只有32%的意大利女性希望每月来月经。所有年龄组中最希望的月经频率是每三个月一次（23.7%）或不来月经（26%）。在使用OCs的女性中，57.2%希望每月来月经少于一次：26%希望每三个月来一次月经，21.2%希望每年来一次月经。在男性中，58.1%认为延长OCs疗程是可以接受的。
约60%有自然月经周期或由OCs导致月经周期的意大利女性希望月经频率低于每月一次。医生在开OCs处方时应牢记这一事实。
