Pemulihan Kesuburan Pasca Pemakaian Alat Kontrasepsi pada Wanita Usia Subur di Indonesia

Reni Dwi Setyaningsih; Siswanto Agus Wilopo; Ova Emilia

doi:10.32382/medkes.v16i1.1684

Pemulihan Kesuburan Pasca Pemakaian Alat Kontrasepsi pada Wanita Usia Subur di Indonesia

Reni Dwi Setyaningsih, Siswanto Agus Wilopo, Ova Emilia

Abstract

The issue of return of fertility after discontinuation of contraceptive use is one of the important studies related to the efficacy and safety of various contraceptive methods, both hormonal and non-hormonal. Indonesian Demographic and Health Survey Data from 2002-2003 revealed that 34 percent of women in childbearing age who discontinued using the contraceptive was due to pretension to have the next pregnancy. The mechanisms of action for a variety of contraceptives would be related to the varying duration of post-use fertility return. This study was aimed to see how long it takes for women in childbearing age to stop using the contraceptive until the next pregnancy occurs.

This study was an observational study using secondary data from the Indonesian Demographic and Health Survey (SDKI) data from 2002-2003. The samples of this study were 5,223 women in childbearing age who discontinued using the contraceptive. Every interest in this study was the occurrence of pregnancy after stopping using the contraceptive. Determination of the samples was limited to ever pregnant women who stopped using hormonal contraceptive and IUD, which could be observed during the survey period.

The results showed that the probability of reaching 50 percent pregnancy required 7 and 6 months after the discontinuation of injection and implant use as well as 4 months after pill and IUD use.

Keywords: Return of fertility, Contraceptive, Childbearing Age

Keywords

contraception; fertility; woman childbearing age

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References

REFERENSI

Affandi, B., Santoso S.S., Djajadilaga, Hadisaputra, W. and Moeloek, F. . (1987). Pregnancy after removal of norplant implants contraceptive, 36, 203–209.

Cahill, D.J. and Wardle, P. . (2002). Management of infertility. British Medical Journal, 325, 28–32.

Croxatto, H. . (2002). Mechanism that explain the contraceptive action of progestin implant for women. Clin Obstet Gynecol, 41(4), 958–965.

Diaz, S., Pavez, M., Miranda, P., Robertston, D.N., Sivin, I. and Croxatto, H. B. (1982). A five year clinical trial of levonorgestrol silastic implants (NorplantTM). Contraception, 25, 447–456.

Doll, H., Vessey, M. and Painter, R. (2001). Return of fertility in nulliparous women after discontinuation of the intrauterine device: Comparison with women discontinuing other methods of contraception. Br J Obstet Gynaecol, 108, 304–314.

Farrow A., Hull M. G.R., Northstone K., Taylor H., F. W. C. L. and G. J. (2002). Prolonged use of oral contraception before a planned pregnancy is associated with a decreased risk of delayed conception. Hum Reprod, 17(10), 2754–2761.

Gareen, I.F., Greenland, S. and Morgenstern, H. (2002). Intrauterine devices and pelvic inflamatory disease: Meta-analysis of published studies 1974-1990. Epidemiology, 11(589–597).

Glassier, A. (2002). Implantable contraception for women : effectiveness, discontinuation rates, return of fertility and outcome of pregnancies. Contraception, 65, 29–37.

Hassan, M.A., and K. S. . (2004). Is previous use of hormonal contraception associated with a detrimental effect on subsequent fecundity? European Society of Human Reproduction and Embryology, 19 (2), 344–351.

Makro, B. P. S. and O. (2003). Survei Demografi dan Kesehatan Indonesia.

Maureen Cronin, Ilka Schellschmidt, J. D. (2009). Rate of pregnancy after using drospirenone and other progestin-containing oral contraceptives. Obstetry Abd Gynecology, 114(3), 616–622.

Pardthaisong, T., Gray, R. H. and M. E. . (1980). Return of fertility after discontinuation of depot medroxyprogesterone acetate and intra-uterine devices in Northern Thailand. Lancet, 1, 509–512.

Shulman Lee P., and W. C. L. (2006). Return to fertility after use of reversible contraception. Dialogues in Contraception, (10), 11.

Sivin, I., Sanchez, F.A., Diaz, S. and Robertson, D. . (1983). A four-year clinical study of norplant implants. Stud Fam. Plann, 14, 184–191.

Tadele Girum, A. W. (2018). Return of fertility after discontinuation of contraception: a systematic review and meta-analysis. Contraception and Reproductive Medicine, 3, 1–9.

DOI: https://doi.org/10.32382/medkes.v16i1.1684