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Use of combined oral contraceptives: retrospective study in Isfahan, Islamic Republic of Iran.

We carried out a retrospective cross-sectional study on 500 women in Isfahan who started taking combined oral contraceptives (COCs) during the period 21 March 1995-20 March 1997. The cumulative continuation rate fell from 77% to 12% over 60 months. The most common reason for discontinuation was side-effects. There was a significant correlation between side-effects and cumulative COC continuation rate (P < 0.05). The lowest rate was seen in women reporting nausea or vomiting. Women who are interested in COCs should receive extensive counselling about the possible side-effects and should be helped to find a method of birth control suited to their temperament and physiology.

Adolescent↗

[Using the condom--on coping with a necessary evil].

Social aspects of condom use are mentioned by outlining some sections of the historical development of condom use (early and pre-history, family history in England during the 19th century, combat against syphilis, the "birth-strike-debate" in the German social democratic party). A few results of an own questionnaire research about students' sexuality (n = 666) are presented. They give some hints about a change in the use of different contraceptional techniques in comparison with former studies done in the sixties and at the beginning of the eighties. Condom users and non-users seem to be different in terms of concepts of partnership, sexual contentment and aids preventive behaviour. Finally we discuss some psychological aspects of condom use with regard to the--sparse--relevant literature and to an own qualitative study of the motivation of users and non-users.

Adaptation, Psychological↗

[The responsibility of medicine in adolescence].

Adolescence is a not very well defined time period between childhood and the adult age. The self esteem of an adolescent is neither that one of a child nor that one of an adult. If somatic, psychologic or psychosomatic complications or problems occur within this period, most of the adolescents disagree to be treated by a pediatrician, but they also disagree to be treated by "doctors for the elderly". Most of the complications or problems are specific for that age period; they are not well known to all medical doctors. Because of these reasons, specialists in adolescent medicine are mandatory for proper treatment. The most important problems or complications are dealing with puberty (early or delayed puberty, acne), growth, sexuality and sexual behavior, contraception, chronic disease and drugs.

Adolescent↗

The new morality.

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Adolescent↗

Is permanent contraception acceptable in sub-Saharan Africa?

Some authors contend that the low use of family planning in sub-Saharan Africa is due to a low demand for fertility regulation among African men and women. The present authors' experience in Africa has been that it is not the demand for family planning services, but the way services are delivered that accounts for low numbers of acceptors in Africa. The specific case of Kenya is mentioned, where improvements in the quality of sterilization services and increases in the number of institutions that can provide minilaparotomy under local anesthesia have led to an increase in the acceptance of sterilization. The authors maintain that the demand for all family planning methods does exist, and it is up to the donor agencies and family planning service providers to try to meet that demand by providing services that are efficient to providers while oriented to the clients' needs. In the case of voluntary surgical contraception, that means providing minilaparotomy under local anesthesia.

Africa↗

[Resistance to contraception].

While contraception has been an acquired freedom for more than 10 years, a number of women present clinical manifestations resulting in the restriction or the suppression of this freedom. The symptoms are extremely diversified, from forgetting the pill to severe depression, from repeated infections to personality disorders. If many symptoms may be explained from an organic standpoint, others only derive from an unconscious resistance to contraception. The authors attempt to determine the origins of such resistance, their possible variations and advocate a management protocol for patients presenting this type of disorder.

Adult↗

Burst sheaths.

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Contraception Behavior↗

[Attitude towards use of condoms among Norwegian adolescents].

The article discusses the relationship between attitudes towards condoms and the use of condoms among sexually active Norwegian adolescents. The data stem from a random survey of 3,000 Norwegian adolescents aged 17-19. The responsrate was 61.8%. In general, most adolescents were positive towards condoms, and condom users were more positive than non-users. A logistic regression analysis showed that the only statistically significant predictors of condom use were the attitudes 'condoms aren't necessary to me' and 'condoms are uncomfortable'. The results indicate that attitudes towards condoms bear some relation to condom use. But, the use of condoms is also governed by factors other than attitudes.

Adolescent↗

Contraceptive practice among New Zealand women.

In May 1976 the contraceptive practices of New Zealand women were surveyed among a national random probability sample of 1200 women aged 15 years and over. The survey found 93 percent of women aged 15-44 years considered themselves at risk of pregnancy. Of all women surveyed, almost half (two-thirds of those at risk) currently practised contraception. The highest incidence was among women aged 25-44 years. Single women at risk contracepted less frequently than did married women. The most frequently used method was the contraceptive pill, favoured particularly by younger women. It was followed by sterilisation of either partner, which was most frequent among women aged 25-44 years.

Adolescent↗