Kopp Kallner Helena, Lindh Ingela, Gemzell-Danielsson Kristina
Department of Clinical Sciences at Danderyd Hospital, Karolinska Institutet, Stockholm, Sweden.
Department of Obstetrics and Gynecology, Institute of Clinical Sciences, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Acta Obstet Gynecol Scand. 2025 Feb;104(2):253-257. doi: 10.1111/aogs.15014. Epub 2024 Dec 20.
Despite great societal efforts promoting female autonomy, Sweden still faces unmet contraceptive needs, with abortion rates being the highest in the Nordic countries. In this commentary, we discuss using non-daily contraception options to combat these unmet needs. Non-daily methods include transdermal (i.e., patch), ring, injectables, and long-acting reversible contraception (LARC). Numerous studies have revealed that users prefer non-daily methods, and studies implementing structured counseling have revealed an increase in non-daily methods. Relative to LARC, the patch and the ring are non-daily parenteral methods that offer the possibility for self-management. Ultimately, client-centered counseling and shared decision-making are crucial for increasing awareness of all methods and enhancing method utilization and adherence. Finally, dispelling myths surrounding reversible hormonal contraception is essential for empowering women to make informed choices and improving overall reproductive health outcomes.
尽管社会为促进女性自主权做出了巨大努力，但瑞典仍面临未满足的避孕需求，其堕胎率在北欧国家中是最高的。在这篇评论中，我们讨论使用非每日服用的避孕方法来满足这些未满足的需求。非每日服用的方法包括经皮（即贴片）、阴道环、注射剂和长效可逆避孕法（LARC）。大量研究表明，使用者更喜欢非每日服用的方法，实施结构化咨询的研究也显示非每日服用方法的使用有所增加。相对于长效可逆避孕法，贴片和阴道环是非每日服用的肠胃外给药方法，提供了自我管理的可能性。最终，以客户为中心的咨询和共同决策对于提高对所有方法的认识以及提高方法的利用率和依从性至关重要。最后，消除围绕可逆激素避孕的误解对于使女性能够做出明智选择并改善整体生殖健康结果至关重要。
