Compliance With Contraceptives and Other Treatments

    September 1996 in “ Obstetrics & Gynecology
    Joyce A. Cramer
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    TLDR People often struggle to consistently use contraceptives and other medications, and long-acting options might be better for those who want to avoid daily doses.
    The 1996 document examines compliance with oral contraceptives (OCs) and compares it to compliance with other medical treatments, based on 29 studies. It found that compliance rates for contraceptives are low and similar to those for other treatments, with factors such as individual perceptions, adverse effects, socioeconomic status, and age influencing compliance. The document notes that young people often struggle with compliance, and that knowledge does not always lead to consistent use. It suggests that face-to-face education and peer counseling can improve compliance among adolescents. Long-term compliance is also an issue, with many women discontinuing OC use within six months. Alternatives like long-acting contraceptives may improve compliance due to less frequent dosing, despite challenges such as administration by medical personnel and cost. The document concludes that long-acting hormonal preparations may be preferable for those seeking complete protection without daily action, and stresses the importance of healthcare professional involvement in regular medication refills.
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