Nappi Rossella E, Tiranini Lara, Bosoni David, Cucinella Laura, Piccinino Manuela, Cumetti Andrea, Perone Valeria, Benedetto Chiara
Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy.
Research Centre for Reproductive Medicine, Gynecological Endocrinology and Menopause, IRCCS San Matteo Foundation, University of Pavia, Pavia, Italy.
Gynecol Endocrinol. 2023 Dec;39(1):2189971. doi: 10.1080/09513590.2023.2189971. Epub 2023 Mar 14.
We investigated the attitudes to change the frequency of menstrual bleeding by using combined hormonal contraception (CHC). Personality characteristics were also explored.
We conducted a cross-sectional study in two university hospitals in northern Italy. Current, past and never CHC users ( = 545; age 18-44 years) completed a self-administered semi-structured questionnaire and the Ten-Item Personality Inventory (TIPI).
Forty-five percent of responders ( = 301) would prefer to change their bleeding frequency by using CHC. A flexible regimen was the preferred choice ( = 80; 33%) followed by extended regimens to bleed every 3 months ( = 54; 22%) or to never bleed ( = 43; 18%). The main positive reasons were to avoid dysmenorrhea (43%) and have more freedom in sexual (36%) and active (35%) life, whereas the main reason for a negative attitude was 'menstrual rhythm is natural' (59%). Age had a significant influence on women's willingness to change menstrual frequency by using CHC [>39 years (57%), 30-39 years (31%) and <30 years (46%)] (χ: 9.1; = 0.01). Never users significantly reported a more negative attitude (71%) in comparison with past (51%) and current users (49%) (χ: 18.7; = 0.001). Personality traits played a role, with higher scores of openness ( = 0.005) and extraversion ( = 0.001) in women with a positive attitude.
Almost half of our study sample reported a preference for changing their menstrual pattern by using CHC. Flexibility was the preferred choice across age and use of CHC. Personality characteristics (openness and extroversion) might influence attitudes toward CHC-induced menstrual bleeding changes.
我们调查了使用复方激素避孕药（CHC）改变月经出血频率的态度。同时也探讨了人格特征。
我们在意大利北部的两家大学医院进行了一项横断面研究。当前、过去和从未使用过CHC的使用者（n = 545；年龄18 - 44岁）完成了一份自我管理的半结构化问卷和十项人格量表（TIPI）。
45%的应答者（n = 301）希望通过使用CHC改变其出血频率。灵活方案是首选（n = 80；33%），其次是延长方案，即每3个月出血一次（n = 54；22%）或不再出血（n = 43；18%）。主要的积极原因是避免痛经（43%）以及在性生活（36%）和日常生活（35%）中有更多自由，而消极态度的主要原因是“月经节律是自然的”（59%）。年龄对女性使用CHC改变月经频率的意愿有显著影响[>39岁（57%）、30 - 39岁（31%）和<30岁（46%）]（χ²：9.1；P = 0.01）。与过去使用者（51%）和当前使用者（49%）相比，从未使用者显著报告了更消极的态度（71%）（χ²：18.7；P = 0.001）。人格特质起到了作用，持积极态度的女性在开放性（P = 0.005）和外向性（P = 0.001）方面得分更高。
我们研究样本中近一半的人表示倾向于通过使用CHC改变月经模式。灵活性是各年龄组和CHC使用情况中的首选。人格特征（开放性和外向性）可能会影响对CHC引起的月经出血变化的态度。
