1Senior Resident, Dept. Obst & Gynae, ESIC-PGIMSR & MC, Joka, Kolkata
2Consultant, Dept. Obst & Gynae, Bilaspur, Orissa
3Assistant Professor, Dept. Obst & Gynae, ESIC-PGIMSR & MC, Joka, Kolkata
4Associate Professor, Medical College Kolkata
5Senior Resident, Dept. Obst & Gynae, ESIC-PGIMSR & MC, Joka, Kolkata
6Professor, Medical College, Kolkata
Since the introduction of hormonal contraceptives, combined oral pills have become the method of choice for many women. Although COCs have improved significantly, they have got some disadvantages. This has prompted development of non-oral hormonal contraceptive methods. One of them is combined contraceptive vaginal ring(CCVR).
This study is targeted towards study of efficacy and acceptability of CCVRs in Indian women, along with cycle control, safety aspects, adverse effects and partner's compliance.
The study enrolled married women attending outpatient department for contraceptive advice. They were counselled for CCVR. They were carefully instructed about the procedure of self insertion and removal. She is followed for 3 months and detailed history of her menstrual cycle, local and systemic complications, her compliance and acceptability were assessed.
In our study CCVR was associated with good cycle control and was not associated with vaginal or cervical abnormalities. Treatment related adverse effects like headache, leucorrhoea, nausea, etc and systemic side effects are minimal. 93% women found the ring easy to insert, 98% found it easy to remove and 95% were satisfied with ring usage.
From the present study, it can be concluded that CCVR is an effective contraceptive with good cycle control that is well tolerated. It is associated with high user and partner acceptability and minimal local and systemic effects.
contraceptive, nuvaring, combined contraceptive vaginal ring, cycle control Combined contraceptive vaginal ring-its acceptibility in Indian women
