Relationship between sexual health and contraception methods in women

Sexual dysfunction caused by contraceptive methods threatens
sexual health. The aim of this study was to determine the relationship between sexual health and
contraceptive methods in women attending health centers in Urmia, Iran.
Materials and methods: A descriptive- analytical study was conducted in 2014 in which 198
women were randomly recruited. Data was collected by a standard questionnaire consisting of three parts:
socio-demographic characteristics, Female Sexual Function INDEX (FSFI), and Index of Sexual
Satisfaction (ISS). Data was then analyzed applying descriptive statistics, t-tests, one-way ANOVA, and
Pearson’s correlation coefficient in SPSS V. 22. P-values less than 0.05 were considered significant.
Results: The mean age of participants was 29.89 ± 7.01 years. The mean scores for sexual
function and satisfaction were 20.99 ± 6.73and 35.93 ± 16.10, respectively. ANOVA analysis showed a
significant relationship between sexual function and contraceptive methods. Also, a significant
association was found between contraceptive methods and sexual satisfaction (P= 0.00). The most
common cause of sexual dysfunction and satisfaction was contraceptive injections, while withdrawal
method resulted in the lowest incidence of sexual dysfunction and satisfaction.
Conclusion: In this study, the most common contraceptive methods in women were withdrawal
method and taking oral contraceptive pills (OCPs). The results showed that hormonal methods of
contraception particularly contraceptive injections could negatively influence the women's sexual health.
Therefore, more training programs should be carried out in family planning counselors, so that
appropriate contraceptive methods are implemented while considering women’s sexual satisfaction and
function.