TITLE:
A multivariate analysis of the factors that influence the modification of sexual desire in oral hormonal contraceptive (OC) users
AUTHORS:
Mariano Martin-Loeches, Yadira Pallas, Pedro Lopez Sanchez, Manuel Lloret, Jose Jesús Lopez-Galvez
KEYWORDS:
Oral Contraceptive; Sexual Desire; Sex Hormones
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.1 No.3,
September
30,
2011
ABSTRACT: Objective. This work studied the influencing factors of age, level of education, family planning awareness, relationship with partner, the age at which sexual relationships were initiated, parity, the method of contraceptive previously used, the type of contraceptive pill used and the duration of oral hormonal contraception (OC) use in relation to the modification of sexual desire in OC users. Materials and Methods. Prospective study of 760 OC users at the Family Planning Center “Marina Alta” in Alicante (Spain). A logistical regression analysis was carried out to study the relative risk of reduction in libido, taking other risk factors into account. Results. In the simple analysis, women who initiated sexual relationships between 18 and 25 years of age had a lower sexual desire in comparison with women who were sexually active before the age of 18 (OR = 2.11; CI: 1.15 - 3.91). Nulliparous women had a reduced sexual desire compared with those women that had given birth (OR = 2.32; CI: 1.41 - 3.82). An OC use of between 6 months and 1 year reduced sexual desire in comparison with a use of less than 6 months (OR = 0.24; CI: 0.09 - 0.64). In the multivariate analysis, age (OR = 1.12; CI: 1.01 - 1.21) and the use of OC within an initial 6 month to a year period (OR = 0.24; CI: 0.09 - 0.64) presented a statistically significant relationship with the modification of sexual desire. The level of education, family planning awareness, relationship with partner, the method of contraception previously used and the type of contraceptive pill prescribed showed no statistical significance with the modification of sexual desire in OC users. Conclusions. Sexual desire in OC users decreases as a woman’s age increases and in an early stage of use in the first six months after beginning OC treatment.