Published September 5, 2018 | Version v1
Journal article Open

Sexual function of depot medroxyprogesterone acetate users

Authors/Creators

  • 1. Akademi Kebidanan Bina Husada Tangerang
  • 2. Sekolah Tinggi Ilmu Kesehatan Bina Permata Medika Tangerang

Description

Background. Sexual satisfaction plays an important role in increasing woman health and quality of life. Sexual disfunction causes disharmony between couples resulting in doubts, loss of sexual desire and persistence of relationship. Hormonal contraceptive factors affect sexual disfunction. This study aims to determine the sexual function of depot medroxyprogesteron acetat (DMPA) and non-hormonal contraceptive users. Method. It is an analytical study using historical cohort design. Samples were divided into two groups, DMPA and non-hormonal contraceptive users using 47 respondents in each group. Data collecting was done from January to June 2016 in the area of Jalan Emas Primary Health Care. Samples were obtained using systematic random sampling technique. The instrument used was Female Sexual Function Index (FSFI). Statistical data was obtained using Mann Whitney and unpaired t-test. Result. Results of Mann Whitney statistical test showed no sexual function difference between DMPA and non-hormonal contraceptive users (p=0.883), but orgasm and pain during sexual intercourse scored higher in non-hormonal contraceptive compared to DMPA acceptors(12;6-14 vs 11;7-14), (9;5-4 vs 8;4-13). On the contrary, DMPA acceptors scored higher in arousal dimension (12;9-16 vs 6;2-8) and lubrication dimension (16;10-20 vs 12;8-16). Result of unpair t test showed a significant difference between sexual function of respondent age factor (score p=0.029) and couple age (score p=0.015). Conclusion. DMPA did not affect user's sexual function. Other affecting factors were respondents and husbands' age. Further studies were expected to examine other factors affecting the sexual function of DMPA injection contraceptive acceptors.

Files

8 sex function of DMPA users-fix.pdf

Files (519.1 kB)

Name Size Download all
md5:3cba15aeeec1c6dbd394bbfc8b1ac0b4
519.1 kB Preview Download

Additional details

References

  • Ahmadi, Z et al. (2011). Sexual satisfaction and its related factors in primigravidas. Iran J Nurs. 24(71):54-62.
  • Clayton, AH. (2003). Sexual function and dysfunction in women. Psychiatr Clin North Am. 26(3):673-82.
  • DeLamater, J & Karraker, A. (2009). Sexual functioning in older adults. Current Psychiatry Reports. 11(1):6–11.
  • Enzlin, P et al. (2012). Sexual functioning in women using levonorgestrel-releasing intrauterine systems as compared to copper intrauterine devices. J Sex Med. 9(4):1065-073. Doi: 10.111/j.743-6109.2011.02266.x.
  • Foroutan, SK & Jadid, MM. (2008). Prevalence of sexual dysfunction in patients referred to the Family Justice Center. Daneshvar J. 16(78):39-44. (Persian).
  • Hassan, RS et al. (2015). Study the effect of hormonal contraceptive methods on female sexual function. Med J Cairo Univ. 83(1):115-20.
  • Heiman, JR & Meston, CM. (1997). Evaluating sexual dysfunction in women. Clin Obstet Gynecol. 40(3):616-29.
  • Heiman, JR. (2002). Sexual dysfunction: overview of prevalence, etiological factors, and treatments. J Sex Res. 39(1):73-8. https://doi.org/10.1080/00224490209552124
  • Jeppsson, S et al. (1982). Plasma levels of medroxyprogesterone acetate (MPA), sex-hormone binding globulin, gonadal steroids, gonadotrophins and prolactin in women during long-term use of depo-MPA (Depo-Provera®) as a contraceptive agent. Acta Endocrinol. 99:339-43. Doi: 10.1530/acta.0.0990339.
  • Kariman, N et al. (2017). Sexual dysfunction in two types of hormonal contraception: combined oral contraceptives versus depot medroxyprogesterone acetate. JMRH. 5(1):806-13. Doi 10.22038/jmrh.2016.7763.
  • Li, RHW et al. (2004). Impact of common contraceptive methods on quality of life and sexual function in Hong Kong Chinese women. Contraception. 70(6):474-82. https://doi.org/10.1016/j.contraception.2004.06.010
  • Lichtenstein, S et al. (1978). Judged frequency of lethal events. J Exp Psychol Hum Learn. 4(6):551-78.
  • Matson, SC et al. (1997). Physical findings and symptoms of depot medroxyprogesterone acetate use in adolescent females. J Pediatr Adolesc Gynecol. 10(1):18-23. https://doi.org/10.1016/S83-3188(97)70039-1
  • Mezones-Holguin, E et al. (2011). Association between sexual function and depression in sexually active, mid-aged, Peruvian women. Climacteric. 14(6):654-60. https://doi.org/10.3109/13697137.2011.575480
  • Miller, L et al. (2000). Depomedroxyprogesterone-induced hypoestrogenism and changes in vaginal flora and epithelium. Obstet Gynecol. 96(3):431-9. https://doi.org/10.1016/S0029-7844(00)00906-6
  • Mohammad-Alizadeh-Charandabi, S et al. (2014). Modeling of socio-demographic predictors of sexual function in women of reproductive age. J Mazandaran Univ Med Sci. 23(110):238-42.
  • Neal, KL et al. (2015). Socioeconomic variables effecting female sexual function in an urban, community setting. Open J Obstet Gynecol. 5:195-202.
  • Paul, C et al. (1997). Depot medroxyprogesterone acetate: Patterns of use and reasons for discontinuation. Contraception. 56(4):209-14. https://doi.org/10.1016/S0010-7824(97)00140-6
  • Potts, M & Paxman, JM. (1984). Depo-Provera ethical issues in its testing and distribution. J Med Ethics. 1:9-20.
  • Rosen, R et al. (2000). The female sexual function index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. J Sex Marital Ther. 26(2):191-208. https://doi.org/10.1080/009262300278597
  • Schaffir, JA et al. (2010). Oral contraceptives vs injectable progestin in their effect on sexual behavior. Am J Obstet Gynecol. 203(6):545.e1-.e5. https://doi.org/10.1016/j.ajog.2010.07.024
  • Shahhosseini, Z et al. (2014). A review of affecting factors on sexual satisfaction in women. Mater Sociomed. 26(6):378–81. Doi: 10.5455/msm.2014.26.378-381.
  • Sidi, H et al. (2007). Epidemiology: The prevalence of sexual dysfunction and potential risk factors that may impair sexual function in malaysian women. J Sex Med. 4(2):311-2.
  • Tekin, YB et al. (2014). Evaluation of female sexual function index and associated factors among married women in North Eastern Black Sea region of Turkey. J Turk Soc Obstet Gynecol. 3:153-8. Doi: 10.4274/tjod.43815.
  • Wallwiener, M et al. (2010). Effects of sex hormones in oral contraceptives on the female sexual function score: a study in German female medical students. Contraception. 82(2):155-9. https://doi.org/10.1016/j.contraception.2009.12.022
  • Weale, A. (1979). Statistical lives and the principle of maximum benefit. J Med Ethics. 5(4):185-95.
  • Whitton, SW et al. (2008). Effects of parental divorce on marital commitment and confidence. J Fam Psychol. 22(5):789-93. http://dx.doi.org/10.1037/a0012800
  • Ziherl, S & Masten, R. (2010). Differences in predictors of sexual satisfaction and in sexual satisfaction between female and male University students in Slovenia. Psychiatria Danubina. 22(3):425-9.