BMJ Sexual & Reproductive Health最新文献

Correction: Reasons for using telemedicine medical abortion in Mexico and Chile. 更正：墨西哥和智利使用远程医疗堕胎的原因。

IF 2.8 3区医学

BMJ Sexual & Reproductive Health Pub Date : 2025-10-12 DOI: 10.1136/bmjsrh-2021-201280_corr1

引用次数: 0

Male contraception: successes, challenges and the future. 男性避孕：成功、挑战与未来。

IF 2.8 3区医学

BMJ Sexual & Reproductive Health Pub Date : 2025-10-10 DOI: 10.1136/bmjsrh-2024-202427

Richard A Anderson

引用次数: 0

Expanding insurance coverage to include newly available over-the-counter contraceptives in the United States. 扩大保险范围，将美国新上市的非处方避孕药纳入保险范围。

IF 2.8 3区医学

BMJ Sexual & Reproductive Health Pub Date : 2025-10-10 DOI: 10.1136/bmjsrh-2024-202381

Sarah Munro, Catherine L Satterwhite, Megha Ramaswamy

引用次数: 0

Reusable menstrual hygiene products may lead to underdiagnosis of heavy menstrual bleeding: a randomised trial. 可重复使用的月经卫生用品可能导致严重月经出血的诊断不足：一项随机试验。

IF 2.8 3区医学

BMJ Sexual & Reproductive Health Pub Date : 2025-10-10 DOI: 10.1136/bmjsrh-2024-202541

Bethany Samuelson Bannow, Katrina Ramsey, Katherine Courchaine, Alison Edelman, Alyssa C Colwill

{"title":"Reusable menstrual hygiene products may lead to underdiagnosis of heavy menstrual bleeding: a randomised trial.","authors":"Bethany Samuelson Bannow, Katrina Ramsey, Katherine Courchaine, Alison Edelman, Alyssa C Colwill","doi":"10.1136/bmjsrh-2024-202541","DOIUrl":"10.1136/bmjsrh-2024-202541","url":null,"abstract":"Background: Clinical diagnosis of heavy menstrual bleeding (HMB) is dependent on patient report of menstrual product usage of pads and tampons, but it is unknown if newer reusable menstrual products (cup and underwear) are similarly diagnostic.Methods: We enrolled 20 regularly menstruating individuals with HMB for two menstrual cycles. Participants completed a retrospective baseline Pictorial Blood loss Assessment Chart (PBAC) at the time of enrolment (eligibility PBAC score ≥100) as well as several different measures with each study cycle. In cycle 1, participants used study-provided disposable pads and tampons. For cycle 2, participants were randomised to menstrual cup or underwear and collected their menstrual fluid on their heaviest 2 days. We compared the two cycles with respect to the weight of menstrual fluid collected and the frequency of product changes and leaks during the heaviest days in cycles 1 and 2, as well as questionnaire responses.Results: Overall, the mean rate of product changes per heaviest day were 5.5 disposable product changes (range 1.5-11), 3.6 cup changes (range 1.3-6.2), and 3.5 underwear changes (range 2.7-6.9). Both groups (cup users and underwear users) reported a median 3.5 leaks (range 1-5) per heaviest day in cycle 2, while using the menstrual cup or underwear.Discussion: Participants reported fewer daily changes of reusable products compared with disposable ones, but more leaks, suggesting that 'rate of product change' with reusable products may result in missed diagnoses of HMB.","PeriodicalId":9219,"journal":{"name":"BMJ Sexual & Reproductive Health","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142944886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Research and development of emergency contraception over five decades. 五十年来紧急避孕方法的研究和发展。

IF 2.8 3区医学

BMJ Sexual & Reproductive Health Pub Date : 2025-10-10 DOI: 10.1136/bmjsrh-2024-202616

Raymond Hang Wun Li, Pak Chung Ho, Anna Glasier

引用次数: 0

Clinically unjustified and outdated restrictions on contragestives mean that fertility services are failing women in Britain. 临床上对避孕药具的不合理和过时的限制意味着英国的生育服务正在辜负妇女的期望。

IF 2.8 3区医学

BMJ Sexual & Reproductive Health Pub Date : 2025-10-10 DOI: 10.1136/bmjsrh-2024-202604

Paula Baraitser, Patricia A Lohr, Sally Sheldon

引用次数: 0

Acceptability of digital health intervention during pregnancy to inform women about postpartum contraception (DIGICAP): a pilot randomised controlled study. 怀孕期间数字健康干预的可接受性，以告知妇女产后避孕（DIGICAP）：一项试点随机对照研究

IF 2.8 3区医学

BMJ Sexual & Reproductive Health Pub Date : 2025-10-10 DOI: 10.1136/bmjsrh-2024-202479

Michelle Cooper, Caroline J Free, Kevin Ka-Wing Kuan, Karen McCabe, Emmanuela Osei-Asemani, Charles Opondo, Sharon Cameron

{"title":"Acceptability of digital health intervention during pregnancy to inform women about postpartum contraception (DIGICAP): a pilot randomised controlled study.","authors":"Michelle Cooper, Caroline J Free, Kevin Ka-Wing Kuan, Karen McCabe, Emmanuela Osei-Asemani, Charles Opondo, Sharon Cameron","doi":"10.1136/bmjsrh-2024-202479","DOIUrl":"10.1136/bmjsrh-2024-202479","url":null,"abstract":"Background: Pregnancy within a year of childbirth has negative impacts on women and their children's health. We developed a digital health intervention (DHI) to empower women in contraceptive choices postpartum. Our pilot randomised controlled trial (RCT) aimed to establish the feasibility of a main RCT of the effects of the DHI compared with standard care on long-acting contraception use.Methods: Our pilot RCT recruited 52, 20-24 weeks pregnant women in NHS Lothian, UK between October 2022 and April 2023. Participants were randomised 7:3 to receive either the DHI (n=37) in addition to standard care, or standard care alone (n=15). Telephone survey follow-up was at 24 weeks' gestation and 6 weeks postpartum. Semi-structured qualitative interviews (n=10) were conducted with participants receiving the DHI.Results: All eligible women joined the study and completed follow-up. All intervention participants found the animation highly acceptable; one participant requested text message discontinuation. We completed followed up on 37/37 (100%) of participants. DHI participants reported they valued access to credible contraceptive information that supported decision making in a non-pressurised way.Conclusions: Our DHI is highly acceptable and a trial is feasible. A larger trial is needed to establish if the DHI increases uptake of long-acting reversible contraception postpartum and reduces unintended pregnancies within 12 months of childbirth.Trial registration number: (Trial registration ISRCTN48521918).","PeriodicalId":9219,"journal":{"name":"BMJ Sexual & Reproductive Health","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143000470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Providers' perspectives on the barriers to post-20-week Ground C abortion in Scotland. 苏格兰医疗服务提供者对 20 周后 Ground C 人工流产障碍的看法。

IF 2.8 3区医学

BMJ Sexual & Reproductive Health Pub Date : 2025-10-10 DOI: 10.1136/bmjsrh-2024-202529

Lucy Grieve, Jeni Harden, Nicola Boydell

引用次数: 0

Effectiveness of the etonogestrel subdermal implant in users with overweight and obesity: a systematic literature review. 依托孕烯皮下植入物对超重和肥胖症患者的疗效：系统性文献综述。

IF 2.8 3区医学

BMJ Sexual & Reproductive Health Pub Date : 2025-10-10 DOI: 10.1136/bmjsrh-2024-202424

Daisuke Goto, John W Grunden, Moritz Klinghardt, Vanessa Perez Patel, Sophia von Stockum, Clare Barnett, Johannes Bitzer

{"title":"Effectiveness of the etonogestrel subdermal implant in users with overweight and obesity: a systematic literature review.","authors":"Daisuke Goto, John W Grunden, Moritz Klinghardt, Vanessa Perez Patel, Sophia von Stockum, Clare Barnett, Johannes Bitzer","doi":"10.1136/bmjsrh-2024-202424","DOIUrl":"10.1136/bmjsrh-2024-202424","url":null,"abstract":"Background: The etonogestrel (ENG) subdermal implant is considered a well-tolerated and effective contraception option to avoid unintended pregnancies. However, it is unclear whether being affected by overweight or obesity diminishes the effectiveness of the implant.Objectives: To systematically assess the published evidence on implant contraceptive effectiveness in women with overweight or obesity, and in women who underwent bariatric surgery.Search strategy: A systematic search of MEDLINE and Embase for publications reporting implant effectiveness since 2011.Selection criteria: Primary publications of randomised and non-randomised trials, observational studies and case reports were included.Data collection and analysis: Two independent reviewers identified the Pearl Index, qualitative descriptions of contraceptive failure, implant exposure and potential bias, and assessed overall quality of evidence.Main results: We found 12 publications meeting our criteria, consisting of nine observational studies and three case reports. Excluding case reports, the publications reported Pearl Indices from 0.0/100 women-years (WY) to 0.23/100WY for women with overweight and obesity, respectively. No studies met the eligibility criteria for the post-bariatric surgery population.Conclusions: Observed implant effectiveness in women with overweight and obesity falls within the range of published data across all weight groups (0.0-1.4/100 WY) and does not suggest a reduced effectiveness associated with higher body mass index. Large, well-controlled studies designed to specifically assess the effectiveness of the ENG implant with respect to user weight, particularly in women following bariatric surgery, are warranted.","PeriodicalId":9219,"journal":{"name":"BMJ Sexual & Reproductive Health","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142495371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

"That's not how abortions happen": a qualitative study exploring how young adults navigate abortion misinformation in the post-Roe era. "堕胎不是这样发生的"：一项定性研究，探讨后《罗恩法案》时代的年轻人如何把握堕胎误导信息。

IF 2.8 3区医学

BMJ Sexual & Reproductive Health Pub Date : 2025-10-10 DOI: 10.1136/bmjsrh-2024-202498

Jennifer N John, Allie Westley, Paul D Blumenthal, Lee M Sanders

{"title":"\"That's not how abortions happen\": a qualitative study exploring how young adults navigate abortion misinformation in the post-Roe era.","authors":"Jennifer N John, Allie Westley, Paul D Blumenthal, Lee M Sanders","doi":"10.1136/bmjsrh-2024-202498","DOIUrl":"10.1136/bmjsrh-2024-202498","url":null,"abstract":"Background: Misinformation about abortion is widespread and was exacerbated by the overturn of Roe v Wade. Young adults are among those facing the most direct impacts of new abortion restrictions and are more likely to access health information from online sources, where misinformation is prevalent. We explored how young adults perceive and evaluate abortion-related information in a time of heightened abortion restrictions.Methods: We conducted in-depth, semi-structured interviews with 25 young adults (aged 18-24 years, 56% assigned female at birth), recruited across 17 US states (44% living in states with restrictive abortion policies), between June and September 2022. We derived themes from the interviews using reflexive thematic analysis.Results: While many participants were aware of and had personally encountered abortion misinformation, their susceptibility to false claims varied substantially based on their previous knowledge of abortion and exposure to anti-abortion rhetoric. Participants tended to reject some common myths regarding the medical risks of abortion (eg, association with breast cancer), while expressing a wider range of views regarding its impacts on fertility and mental health. When presented with contradictory sources of abortion information, most participants were unable to confidently reject the misleading source. Knowledge gaps left participants vulnerable to misinformation, while prior scepticism of anti-abortion rhetoric protected participants against misinformation.Conclusions: In this diverse national sample, young adults demonstrated a range of perceptions of abortion misinformation and approaches to identify it. These results lay the groundwork for future observational and experimental research in public health communication.","PeriodicalId":9219,"journal":{"name":"BMJ Sexual & Reproductive Health","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142582080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0