Journal of Contraception Reproductive Health Care - The European ...

The 8th Congress of The European Society of Contraception Abstracts of Free Communications
SESSION 5: EMERGENCY CONTRACEPTION – SEXUAL BEHAVIOUR
FC5-01
Sexual behaviour and use of contraception among adolescents in Sweden
T. Tydén (1,2), U. Hanson (1), E. Häggström-Nordin (1,3)
Department of Women’s and Children’s Health, Uppsala University, Uppsala, Sweden (1); Centre of Clinical Research, Central Hospital
Västera˚s, Uppsala University, Västera˚s, Sweden (2); Department of Public Health and Caring Sciences, Uppsala University, Uppsala,
Sweden (3)
Aim: To investigate sexual behaviour among high school students in Sweden and to study if pornography has any influences on
their sexual behaviour.
Method: A cross sectional survey. 718 students, from 47 high school classes in a medium-sized Swedish city, participated.
Results: The mean age was 18 years. Three-quarters of the sample had had sexual intercourse, the median age at first sexual
intercourse was 16.0 years and 71% reported contraceptive use at first intercourse. More males (98%) than females (72%), had
ever consumed pornography and Internet and TV were the most commonly reported sources. More ‘high consumers’ than ‘low
consumers’ got sexually aroused by, fantasised about, or tried to perform acts seen in a pornographic film (p50.001). Anal intercourse
was reported by 16%, with infrequent condom use (39%). Among those who had had anal intercourse, a difference
between genders was found regarding the personal experience of this practice, 53% (n=27) of the females reporting it to be
mostly negative compared to 5.8% (n=3) of the males. When asked if they would consider doing it again, 83% (n=43) of the
males but 42% (n=21) of the females answered yes (p=0.015).
Conclusion: Three out of four adolescents used contraception at their very first intercourse. Pornography seems to influence the
sexual behaviour among adolescents. High consumption of pornography was found among males and negative experience of
sexual practices inspired by pornography among females. This warrants further research with a gender perspective. Condoms
were infrequently used at anal sex, a fact that has implications for the spread of STIs.
FC5-02
Impact of common contraceptive methods on sexuality – a study in Hong Kong Chinese women
R.H.W. Li (1), S.S.T. Lo (2), D.K.G. Teh (3), N.C. Tong (4), M.H.Y. Tsui (1), K.B. Cheung (4), T.K.H. Chung (1)
Department of Obstetrics and Gynaecology, The Chinese University of Hong Kong, Hong Kong (1); The Family Planning Association of
Hong Kong, Hong Kong (2); Department of Health, Hong Kong Government, Hong Kong (3); Department of Obstetrics and Gynaecology,
Tuen Mun Hospital, Hong Kong (4)
Background: The combined oral contraceptive (COC) pills, injectables, intrauterine contraceptive device (IUCD) and female
sterilization are the most common contraceptive methods used by women. Women’s choice, compliance and satisfaction with
the specific contraceptive methods are influenced by their personal experience or anticipation about the impact of the method
on their sexual life. Anxiety regarding possible adverse effects of the contraceptive methods on their sexual life is one of the
common concerns. Currently there is limited data in the literature addressing this issue.
Objectives: The study aims at determining the impact of the above-mentioned contraceptive methods on sexual function.
Design and Methods: This was a prospective observational questionnaire study on a group of Hong Kong Chinese women,
carried out in the family planning clinics and general gynaecology clinics of the participating institutions. During the period
between January 2003 and March 2004, we recruited 442 women who were first time users of the following contraceptive
methods: (1) COC pills (n=117), (2) injectables (n=80), (3) IUCD (n=115), and (4) female sterilization (n=130). Clients who
had a recent pregnancy or abortion within the recent 6 weeks were excluded. Sexual function of the subjects was assessed before
and 3–4 months after use of the contraceptive method by a standardized questionnaire. The questions were adopted from the
body image, sexual satisfaction and sexual drive subscales of the Derogatis Sexual Functioning Inventory (DSFI)(Chinese
version).
Results: We found a significantly improved DSFI score for sexual satisfaction (p=0.004) and sexual drive (p=0.003) in the female
sterilization group 3–4 months after sterilization. However, the scores for body image were not significantly different (p40.05).
No significant difference in the sexual satisfaction, body image and sexual drive scores was demonstrated after use of COC pills,
injectables and IUCD (p40.05).
Conclusions: The COC pills, injectables, IUCD and female sterilization all do not have significant adverse impact on sexual
function. After female sterilization, there is a significant improvement in sexual satisfaction as perceived by the women.
44 The European Journal of Contraception and Reproductive Health Care