RELATIONSHIP BETWEEN TYPE OF CONTRACEPTIVE USE AND MENSTRUAL PATTERN AMONG FAMILY PLANNING ACCEPTORS IN THE WORKING AREA OF LAMASI PUBLIC HEALTH CENTER, LUWU REGENCY

Abstract

Contraceptive methods are used to prevent pregnancy; however, their selection should consider reproductive function and overall well-being. Hormonal and non-hormonal contraceptive methods may have different effects on menstrual patterns. This study aimed to determine the relationship between the type of contraceptive used and menstrual patterns among family planning acceptors in the working area of Lamasi Public Health Center, Luwu Regency. This analytic observational study used a cross-sectional design. The population comprised all contraceptive users in the working area of Lamasi Public Health Center, totaling 3,080 women. A sample of 279 respondents was selected using purposive sampling. Data were collected using a questionnaire covering demographic characteristics, type of contraception, and menstrual patterns. Data were analyzed using univariate analysis and Spearman's rank correlation test. Most respondents were aged >35 years (53.0%), had completed senior high school education (50.2%), and were housewives (53.0%). Hormonal contraception was used by 171 respondents (61.3%), while non-hormonal contraception was used by 108 respondents (38.7%). Irregular menstrual patterns were reported by 144 respondents (51.6%). Bivariate analysis showed a significant relationship between type of contraceptive use and menstrual pattern (p < 0.001; r = 0.291). In conclusion, the type of contraception used is significantly associated with menstrual patterns among family planning acceptors. Health workers should strengthen counseling on contraceptive choices and possible menstrual side effects.