Gambera Alessandro, Corda Fedela, Papa Rosetta, Bastianelli Carlo, Bucciantini Sandra, Dessole Salvatore, Scagliola Pasquale, Bernardini Nadia, de Feo Daniela, Beligotti Fabiola
Spedali Civili di Brescia, Clinica Universitaria, Brescia, Italy.
Centro Donna c/o Ospedale Binaghi, Cagliari, Italy.
BMC Womens Health. 2015 Sep 2;15:69. doi: 10.1186/s12905-015-0226-x.
Adequate counselling on contraceptive methods can help users choose the most appropriate method. The aim of this study was to assess the effects of structured counselling provided by gynaecologists on selection of a combined hormonal contraception method.
Women aged 18-40 years (n = 1871) who were considering the use of a combined hormonal contraception method (pill, transdermal patch or vaginal ring) underwent a structured counselling session in which gynaecologists provided comprehensive information. Pre- and post-counselling questionnaires on combined hormonal contraception choice were completed by participants.
After counselling, many women (38 %) selected a combined hormonal contraception method that was different from the originally intended one. Preferences for the transdermal patch approximately doubled (from 3.2 % pre-counselling to 7 %; p < 0.0001) and those for the vaginal ring increased four-fold (from 5.2 to 21.2 %; p < 0.0001), while preference for the pill remained unchanged (from 64.5 % [pre-] to 64.1 % [post-counselling]). The proportion of undecided women decreased from 18 to 2.1 % (p < 0.0001). The main reasons for choosing a method were related to ease of use (all methods), and preferences for administration frequency (daily, weekly or monthly). The number of patients requiring post-counselling contact with the physician's office was low (5.1-6.9 %), as was the incidence of adverse events (1.8-3.1 %).
Counselling has a significant impact on women's choice of combined hormonal contraception and encourages them to consider alternative methods to combined oral contraceptives. Moreover, it also enables women to use their chosen method with confidence.
NCT01181778 , Trial registration date: August 12, 2010.
关于避孕方法的充分咨询可帮助使用者选择最合适的方法。本研究的目的是评估妇科医生提供的结构化咨询对联合激素避孕方法选择的影响。
年龄在18 - 40岁（n = 1871）且考虑使用联合激素避孕方法（避孕药、透皮贴剂或阴道环）的女性接受了一次结构化咨询，期间妇科医生提供了全面信息。参与者完成了关于联合激素避孕选择的咨询前和咨询后问卷。
咨询后，许多女性（38%）选择了与最初打算的不同的联合激素避孕方法。对透皮贴剂的偏好几乎翻倍（从咨询前的3.2%增至7%；p < 0.0001），对阴道环的偏好增加了四倍（从5.2%增至21.2%；p < 0.0001），而对避孕药的偏好保持不变（从64.5%[咨询前]降至64.1%[咨询后]）。未做决定的女性比例从18%降至2.1%（p < 0.0001）。选择一种方法的主要原因与使用便利性（所有方法）以及对给药频率（每日、每周或每月）的偏好有关。咨询后需要与医生办公室联系的患者数量较少（5.1 - 6.9%），不良事件发生率也较低（1.8 - 3.1%）。
咨询对女性联合激素避孕的选择有显著影响，并鼓励她们考虑联合口服避孕药以外的替代方法。此外，它还使女性能够自信地使用所选方法。
NCT01181778，试验注册日期：2010年8月12日。
