| Autor: |
Landersoe SK; The Fertility Clinic, Copenhagen University Hospital , Copenhagen , Denmark., Petersen KB; The Fertility Clinic, Zealand University Hospital , Køge , Denmark., Vassard D; Department of Public Health, University of Copenhagen , Copenhagen , Denmark., Larsen EC; The Fertility Clinic, Copenhagen University Hospital , Copenhagen , Denmark., Nielsen HS; The Fertility Clinic, Copenhagen University Hospital , Copenhagen , Denmark., Pinborg A; The Fertility Clinic, Hvidovre Hospital , Copenhagen , Denmark., Nøhr B; The Fertility Clinic, Herlev Hospital , Copenhagen , Denmark., Nyboe Andersen A; The Fertility Clinic, Copenhagen University Hospital , Copenhagen , Denmark., Schmidt L; Department of Public Health, University of Copenhagen , Copenhagen , Denmark. |
| Abstrakt: |
Objective: The combined oral contraceptive pill is the most preferred contraceptive method worldwide. Despite high life-time prevalence of infertility of 16-26%, scarce data about concerns of future fertility among COC users are available. We aimed to study whether COC usage induces concerns about fertility. Methods: Online questionnaire-based survey included 1283 current COC users and 1006 past users. The questionnaire covered knowledge and concerns of various aspects of fertility with respect to COC usage. Results: Significantly, more current users (66%) than past users (52%) had considered whether or not COC usage could affect future fertility (OR = 1.6, 95% CI 1.3-1.9). Nearly 50% of both groups believed COC usage could impair conception rates after discontinuation. Furthermore, 28% current vs. 19% past users believed COC could diminish the ovarian reserve more permanently. Conversely, 14% current and 11% past users believed that lack of ovulation could 'spare' the eggs (OR = 0.9, 95% CI 0.7-1.3). Significantly fewer current users (22%) vs. past users (35%) had heard, primarily by female friends, that a short break of 1-2 months during long-term COC usage was healthy, (OR 0.72, 95%CI = 0.56-0.92). Conclusions: Health care professionals prescribing hormonal contraception should be aware of misapprehensions and concerns of fertility among users of COC. |
