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Current Trends and Perceptions of the Portuguese Gynecology Experts on Hormonal Intrauterine Contraception: The DIOGIN Study

dc.contributor.authorBrito, M
dc.contributor.authorCosta, AR
dc.contributor.authorPacheco, A
dc.contributor.authorRebelo, C
dc.contributor.authorCastro, MG
dc.contributor.authorMartins, I
dc.contributor.authorPalma, F
dc.date.accessioned2022-07-28T14:41:05Z
dc.date.available2022-07-28T14:41:05Z
dc.date.issued2020
dc.description.abstractOverview and Aims: Intrauterine systems (IUS) are one of the most effective forms of long acting reversible birth control, with low failure rates and high continuity and satisfaction rates. Still, they account for a small proportion of contraception use, which may be due to several myths and misperceptions. With this study, we aimed to assess Portuguese experts’ perceptions on potential benefits and fears that may limit women’s contraception choice and to identify current trends in clinical practice. Methods and Population: We performed an observational, descriptive and analytical study in which gynecologists/obstetricians were invited to answer an anonymous questionnaire by call or email made of multiple-choice questions on IUS use. Results: A total of 482 Portuguese Gynecologists answered the survey, of which 97.1% revealed that the insertion of IUS is a common procedure in their current clinical practice. More than 95% considered the insertion of IUS an easy procedure and a safe contraceptive method. Cost-efficacy and the fact that this method doesn’t rely on women􀀀s action to be effective were the top benefits for IUS users, perceived by the physicians. On the other hand, concern about having a foreign object inside the body and fear of insertion pain were perceived by the physicians as the top barriers to IUS use. Female gynecologists perceived a higher degree of pain associated with IUS insertion (p=0.021). Overall, gynecology experts’ opinions were conservative regarding IUS recommendations to women. Conclusions: The results of this study provide a general insight towards Portuguese gynecologists’ perceptions, opinions and attitudes on the use of IUS. Most of the experts consider IUS a safe contraception method but, on the other hand, there is still concern about its use in particular female conditions which may in part contribute to the low rate of IUS use in Portuguese women.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationActa Obstet Ginecol Port 2020;14(2):74-82pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.17/4169
dc.language.isoporpt_PT
dc.peerreviewedyespt_PT
dc.publisherFederação das Sociedades Portuguesas de Obstetrícia e Ginecologiapt_PT
dc.subjectContraceptionpt_PT
dc.subjectIUSpt_PT
dc.subjectCounselingpt_PT
dc.subjectGynecologists perceptionpt_PT
dc.subjectPainpt_PT
dc.subjectMAC GINpt_PT
dc.titleCurrent Trends and Perceptions of the Portuguese Gynecology Experts on Hormonal Intrauterine Contraception: The DIOGIN Studypt_PT
dc.title.alternativeTendências e Perceções dos Ginecologistas Portugueses sobre Contraceção Hormonal Intrauterina: o Estudo DIOGINpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage82pt_PT
oaire.citation.issue2pt_PT
oaire.citation.startPage74pt_PT
oaire.citation.volume14pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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