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Sexual function in Iranian women using different methods of contraception.

AIMS AND OBJECTIVES
To determine the sexual function in Iranian women using different methods of contraception.


BACKGROUND
Failure in family planning programmes can lead to reduced quality of life and threaten the health of the families in developing countries. One of the major causes of failure in family planning methods could be due to complications of them. One of the major unpleasant side effects of these methods, as an important cause of the rejection, is sexual dysfunction.


DESIGN
A case-control study.


METHODS
In this study, samples included 608 married women aged 15-49 years from Shahin Shahr health centres in Isfahan. Stratified sampling method was used to determine entitlement to select health centres, and convenience sampling method was used for women selection. The selected samples, based on using contraceptive methods, were divided into case group (n = 306) and control group (n = 302). Data were collected using sexual function questionnaire in women using different methods of contraception. Data were analysed by descriptive statistic and anova.


RESULTS
Results of independent t-test showed significant difference in all domains of sexual function in two groups (p < 0·05). Most contraceptive methods in control group were natural methods (28·4%), and the least used was vasectomy (1·8%). Findings showed that the least sexual dysfunction in Iranian women was in condom use method, and the most was in vasectomy method. There was asignificant difference between all domains of sexual function (except pain) in types of contraceptive methods (p < 0·05).


CONCLUSIONS
This study revealed that in family planning programmes, contraceptive methods in women that are more effective and have less sexual function impairments should be recommended.


RELEVANCE TO CLINICAL PRACTICE
Knowledge and awareness of the healthcare professionals regarding the sexual problems should be increased. Management of sexual dysfunction in a holistic approach in the primary care services might improve the wellness and quality of life of the women.