Is a safe and effective contraception possible? Dual Protection in Spain - Team SEC on behalf of Spanish Society of Contraception
ESC Congress Library. Quílez Conde J. May 10, 2018; 208113; ESC130
Jose C. Quílez Conde
Jose C. Quílez Conde
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Abstract
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Objective: Reflect on contraceptive habits in Spain and their influence on health. D&M: In the last years we have witnessed a hopeful situation in our country. It seems that high rate of use of condoms is been abandoned in favor of more effective methods. Spanish Society of Contraception (SEC), which has been studying contraceptive use trends in the general population for years, reflects a frank decline in condom use (which in 2007 was above 40%, up to 28.4% in 2016) in favor of hormonal contraceptives and a very slight rise of LARC methods. However, and after a long time talking encouraging the use of LARC methods, we appreciate a very significant rebound of STI in our environment. The Ministry of Health, in its epidemiological surveillance report, published in May 2017, shows very worrying data: The rate of gonococcal infection returns to 1995 levels, having risen by approx. 7 points since 2007. The group of people most affected is between 20 and 24 years The syphilis rate doubles since 2007 There is concern about the increase in the detection of Chlamydia infection, more prevalent in women The HIV rate in Spain is higher than the average for the European Union and other countries in Western Europe Is this increase a consequence of the change in contraceptive behaviour? Has the fear of STIs (especially AIDS) been lost? Are correct TV campaigns promoting the use of condoms by marketers? Results: An international trend has warned, for years, that the promotion of condoms can have an inverse effect by increasing risky sexual behaviors. These studies call for more confident individuals to adopt less secure behaviors. In addition, SEC has already warned of wrong use of condoms, recognized by a large percentage of users (> 40%). Conclusions: : What is the best strategy then? According to systematic reviews, campaigns focused on reducing STI risk appear to be effective. Perhaps the key is, then, in promoting the dual protection, focusing on the potential consequences of STIs. In addition, although a very high percentage of the population seems to know the concept of Dual Protection, the use of this system as protection against unplanned pregnancies and STIs seems very poor.
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