ABSTRACT:

Many unwanted pregnancies and its associated complications have resulted from refusal of some women of reproductive age to the use of contraceptives in general particularly the hormonal contraceptive in our environment. The fear of side effects, religious belief, ignorance and other myths surrounding the use of contraceptives had contributed to this. The main objective of the study was to find out if the reported side effects of hormonal contraceptives by women of reproductive age in Enugu, South Eastern Nigeria, are truth or myth. It was a combination of prospective and retrospective study with interviewer administered questionnaire to assess socio-demographic data, reasons why some women were not using hormonal contraceptives, side effects and benefits of hormonal contraceptives. From the 410 respondents, the study showed that 232 respondents (56.6%, X2=7.686) of respondents used hormonal contraceptive which was significant (p<0.05). 178respondents (43.4%) respondents did not use hormonal contraception. 76.0% of the hormonal contraceptives users had side effects while 24.0% did not. Irregular menses (44.4%) was the commonest side effect.130 respondents (73.0%) gave reasons such as religious belief, ignorance, fear of side effects etc as preventing factors to the use of contraceptives. The study showed that 69.8% of users were not discouraged by side effects and 81.1% agreed to recommend it to their friends and family relatives because of its numerous benefits. While it was true from the study that hormonal contraceptives was associated with some side effects of which some disappeared without intervention within 3-5 months of use (35.1%), and others were taken care of through medical interventions, some myths(religious belief, ignorance, husband approval, etc) were also limitations against hormonal contraceptives use. 

KEYWORDS:

Pharmacodynamic, Myth, Health Personnel, Hormonal Contraceptives, Chemotherapy

REFERENCES :

1) Adedini, SA; Mobolaji JW; Alabi, M, Fatusi, AO, (2021): Changes in contraceptive and sexual behaviors among unmarried young people in Nigeria: Evidence from nationally representative surveys. PLos ONE 16(2):e0246309.doi:10.137/Journal. Pone.0246309.
2) Chebet J.J; McMahon S.A.; Greenspan J.A; Mosha I.H; Collagha – Kooru J.A; Kilewo J; Baqui A.H; and Winch P.J (2015). “Every method seems to have its problems” – perspectives on side effects of hormonal contraceptives in Morogoro Region, Tanzania. BMC Women’s Health 15, 97. https://doi.org/10.1186/s12905-015-0255-5.
3) Chigbu B; Onwere S; Aluka C; Kamanu C; Okoro O; Feyi – Waboso P (June 2010). Contraceptive choices of women in Rural South Eastern Nigeria. Nigerian Journal of clinical practice. Vol. 13 (2): 195 – 199.
4) Cleland, J; Bernstein, S; Ezeh, A; Faundes, A; Glasier, A; Innis, J (2006). Family planning; the unfinished agenda. Lancet 368 (9549): 1810 – 27. Available from: http://www .ncbi.nlm. nih.gov/pubmed/17113431.
5) Cleland, J; Conde-Agudelo A; Peterson, H; Ross, J; Tsui, A (July 14, 2012) “Contraception and health”. Lancet 380 (9837): 149-56
6) Cleland, JG; Ndugwa, RP; Zulu, EM (February 1, 2011). “Family planning in sub-Saharan Africa: progress or stagnation?”. Bulletin of the World Health Organization .89(2): 137-43. PMID21346923.
7) Cooper DB; Patel P; Mahdy H (Nov 2022). Contraceptive Pills. In: Stat Pearls [internet]. Treasure Island [FL]:StatPearls Publishing; Jan 2023- .PMID: 28613632
8) Ezegwui, H; Ikeako’ L.C; Ishiekwene, C.I.C (October, 2011). The discontinuation of implanon at the family planning clinic of University of Nigeria Teaching Hospital (UNTH) Enugu, Nigeria. Nigerian Journal of Medicine: Journal of the National Association of Resident Doctors of Nigeria 20 (4): 448 – 50.
9) Family planning summit – London, (July, 2012).
10) Family planning summit for safer, healthier and empowered futures – London, July, 2017.
11) Gaffield, ME; Egan, S; Temmerman, M (2014). It’s about time; WHO and partners release programming strategies for postpartum family planning. Glob Heal Scipract 2 (1): 4 – 9. Available from: http://www.ghsjournal.org/cgi/doi/10.9745/GHSP-D-13-00156.
12) Samuel Olusegun Itodo; Paul O. Okonkwo; Asalu Adedayo; Emmanuel Olumuyiwa Onifade; Nwoke Obinna Chidubem; Stephen Olaide Aremu; Onyekachi Ezekiel Ekowo; Anonde Chinedu Matthew; Joseph Aondowase Mamfe (2022).Fear of Adverse Drug Reactions (ADRS) to HAART among Adult HIV/AIDS Patients in FMC, Makurdi, North Central, Nigeria. International Journal of Sciences.11 (02) 40-45. DOI: 10.18483/ijsci.2549.
13) Trends in contraceptive use worldwide 2015 and 2018. United Nation Department of Economic & Social Affairs (UNDESA), Population Division.
14) United Nations Department of Economic and Social Affairs, Population Division, (2020).
15) World Health Organization (2006).Rreproductive health and Research.
16) World health organization (2013). Programming strategies for postpartum family planning. Geneva: world Health organization.
17) Zhn, B.P (2005). Effect of inter-pregnancy interval on birth outcomes; findings from three recent US studies. Int J Gynaecol obstet, 89: 525 – 33. Available from http://www.ncbi .nlm.nih.gov/pubmed/15820365