Fiala Christian, Chabbert-Buffet Nathalie, Häusler Günther, Jamin Christian, Lete Iñaki, Lobo Paloma, Nappi Rossella E, Pintiaux Axelle
a Gynmed Clinic , Vienna , Austria.
b Department of Women's and Children's Health , Karolinska Institute , Stockholm , Sweden.
Eur J Contracept Reprod Health Care. 2017 Aug;22(4):268-273. doi: 10.1080/13625187.2017.1334258. Epub 2017 Jun 26.
Our aim was to assess the level of inconvenience associated with menstrual bleeding and determine how many women across 12 European countries would prefer a bleeding frequency of less than once a month and what would motivate their choice.
A 15-min quantitative online survey was conducted in two waves among 5728 women aged between 18 and 45 years, with an equal distribution of women using a combined hormonal contraceptive (CHC group, n = 2739) and women using a non-hormonal contraceptive or no contraceptive (non-HC group, n = 2989). The first wave was carried out in Austria, Belgium, France, Italy, Poland and Spain, in February 2015, and the results have been published. The second wave was conducted in the Czech Republic, Germany, Hungary, Portugal, Latvia and the Netherlands, between August and September 2015.
The menstrual period was significantly longer (5.0 versus 4.6 days) and heavier (15 versus 7%) in non-HC users than in CHC users (p < .0001). Given the choice, ∼60% of women would like less frequent menstrual bleeding. There was heterogeneity in the preference across countries. Sexuality, social life, work and sporting activities were key factors affecting women's preference.
The majority of women in the 12 European countries would prefer to reduce the frequency of menstrual periods. Quality of life was the main factor affecting their preference.
我们的目的是评估与月经出血相关的不便程度，并确定12个欧洲国家中有多少女性希望月经频率低于每月一次，以及促使她们做出选择的因素。
对5728名年龄在18至45岁之间的女性进行了两波为期15分钟的定量在线调查，使用复方激素避孕药的女性（复方激素避孕药组，n = 2739）和使用非激素避孕药或未使用避孕药的女性（非激素避孕药组，n = 2989）人数均等。第一波调查于2015年2月在奥地利、比利时、法国、意大利、波兰和西班牙进行，结果已发表。第二波调查于2015年8月至9月在捷克共和国、德国、匈牙利、葡萄牙、拉脱维亚和荷兰进行。
非激素避孕药使用者的月经期明显更长（5.0天对4.6天）且出血量更大（15%对7%），高于复方激素避孕药使用者（p <.0001）。如果可以选择，约60%的女性希望月经频率降低。各国的偏好存在异质性。性生活、社交生活、工作和体育活动是影响女性偏好的关键因素。
12个欧洲国家的大多数女性希望减少月经频率。生活质量是影响她们偏好的主要因素。
