فراواني علل قطع آمپول دپومدروكسي پروژسترون استات در زنان مراجعه كننده به مراكز بهداشتي و درماني تحت پوشش دانشگاه علوم پزشكي ايران

STUDY OF REASONS FOR DISCONTINUATION OF DMPA IN REFFERRED WOMENS TO IRAN UNIVERSITY MEDICAL AND HEALTH CENTERS

DMPA ampoules have such benefits as easy usage, high effectiveness, increasing the Level of Hemoglobin in the blood of persons who use it. And it lacks increasing the risk of Termbolism toward compound drugs. But despite of the advantages mentioned above, After one or two times of injecting the ampoule many women referred to Health center and asked for discontinuing ampoule. This matter needs study and research to clarify the reasons of discontinuing ampoule, an focusing on the probable effects of this prevention method. Research was conducted with the aim of specifying the reasons for stopping the injection of ampoule in 900 women who refer to Health and Treatment centers of Iran University of Medical sciences. The data was collected during 10 months through questionare and interview with the women who stoped injecting the ampoule. Results indicated that %61 of cases discontinued injecting the ampoule after 1-2 times and %40 of cases had delayed menstruation after discontinuing it. The most important reasons of stoping the injection were disorder in menstruation(%53.6), Amenoreha(50.6), headache(%33.5) and decrease of sexual tendency(20.3). Therefor most important task of clinic staff working at family planning units, is selecting women for DMPA with notice and follow them up regularly in the case of choosing ampoule as preventive method. Then they should perform regular and periodical examinations so that they could be able to take timely appropriate action in case of occuring any problem.