Contraception and reproductive medicine最新文献

{"title":"One-year discontinuation rate of the combined injectable contraceptive among post-abortion women: a prospective follow-up study in Shanghai, China.","authors":"Shaojun Yang, Minghong Yin, Yuyan Li, Xiaoying He","doi":"10.1186/s40834-026-00454-y","DOIUrl":"10.1186/s40834-026-00454-y","url":null,"abstract":"<p><strong>Background: </strong>Post-abortion contraception is important for sexual and reproductive health. Combined injectable contraceptives (CICs) are a class of highly effective and reversible contraceptive methods, yet their utilization remains low in China. This study aimed to assess the discontinuation rate, reported side effects, and contraceptive effectiveness of CIC use among post-abortion women in China.</p><p><strong>Methods: </strong>We conducted a prospective follow-up study among post-abortion women who received post-abortion care (PAC) services in Shanghai, China, from 2023 to 2024. Post-abortion women who initiated the \"Compound Norethisterone Enanthate Injection\" (NET-EN 50 mg/ E₂V 5 mg) were followed up for one year. The chi-square test and survival analysis were used for data analysis.</p><p><strong>Results: </strong>A total of 1,156 participants were included. The mean duration of CIC use was 5.73 ± 2.15 months. The one-year discontinuation rate was 98.72% (95% CI: 97.83-99.29). At 6 months, the cumulative user-failure and method-failure rates were 0.49% (95% CI: 0.18-1.30) and 0.12% (95% CI: 0.02-1.13), respectively. Side effects were reported by 331 participants (28.63%), and all had discontinued CIC by the end of follow-up. In univariate analysis, women reporting side effects had a significantly higher discontinuation rate than those without side effects; however, this association was not statistically significant in the multivariable Cox proportional hazards model.</p><p><strong>Conclusions: </strong>The one-year discontinuation rate of monthly CIC was high among post-abortion women in this study. The findings highlight the importance of continued contraceptive support and timely access to alternative methods during post-abortion care follow-up.</p>","PeriodicalId":93956,"journal":{"name":"Contraception and reproductive medicine","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13335338/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147876336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sociodemographic determinants of contraceptive intention among young adult women (15-24) in Nigeria: the role of age at first sex and region of residence.","authors":"Jamilu Sani, Adeyemi Oluwagbemiga, Johnson Oluwole Ayodele, Olumide Owoeye, Jane Roli Adebusuyi, Mairo Abubakar, Yetunde A Arigbede, Abdullahi Abubakar Ambursa, Ibrahim Shehu, Bashar Hamisu, Salad Halane, Abubakar Yakubu Abbani, Mustapha Usman Giro, Umar Idris Boku, Abdulmumin Musa Omiya, Muazu Alhaji Shamaki","doi":"10.1186/s40834-026-00458-8","DOIUrl":"10.1186/s40834-026-00458-8","url":null,"abstract":"<p><strong>Background: </strong>Young adult women represent a critical population in reproductive health due to their heightened risk of unintended pregnancy and limited socioeconomic opportunities. Contraceptive intention is a key determinant of future contraceptive use; however, limited evidence exists on the factors influencing contraceptive intention among young adult women in Nigeria. This study therefore examined the sociodemographic determinants of contraceptive intention among young adult women in Nigeria, with particular attention to age at first sex and region of residence.</p><p><strong>Methods: </strong>This cross-sectional study used data from the 2018 Nigeria Demographic and Health Survey (NDHS). A total of 14,210 women aged 15-24 years who reported their contraceptive intention were included, while current contraceptive users were excluded because the analysis focused specifically on contraceptive intention among women who were not currently using any contraceptive method. Descriptive statistics summarized sample characteristics, while bivariate and multivariable logistic regression analyses identified determinants of contraceptive intention. Results were presented as crude and adjusted odds ratios (CORs and AORs) with 95% confidence intervals (CIs), and statistical significance was set at p < 0.05.</p><p><strong>Results: </strong>The prevalence of contraceptive intention among young adult women in Nigeria was 47%. Education showed a strong positive association, as women with tertiary education were more than three times as likely to intend to use contraception compared to those with no education (AOR = 3.51; 95% CI: 2.81-4.40; p < 0.001). Married women (AOR = 0.63; 95% CI: 0.54-0.74; p < 0.001) and Muslim women (AOR = 0.52; 95% CI: 0.45-0.60; p < 0.001) had significantly lower odds of intending to use contraception. Wealth status showed a positive gradient, while later sexual debut (≥ 20 years) was associated with higher intention (AOR = 1.35; 95% CI: 1.05-1.73; p = 0.02). Regional differences persisted: women in the North West had higher odds (AOR = 1.59; 95% CI: 1.39-1.83; p < 0.001), while those in the South East, South South, and South West had lower odds of contraceptive intention.</p><p><strong>Conclusion: </strong>Education, marital status, religion, wealth, age at first sex, and regional context are key determinants of contraceptive intention among young adult women in Nigeria. Addressing disparities through youth-centered and culturally sensitive family planning interventions that promote education, reproductive health awareness, and economic empowerment could improve contraceptive uptake and reduce unintended pregnancies. However, the cross-sectional nature of the data limits causal interpretation of the observed associations.</p>","PeriodicalId":93956,"journal":{"name":"Contraception and reproductive medicine","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13330265/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147864788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Uptake of family planning methods among adults presenting with genital ulcers at community posts and public outpatient health facilities in central Uganda.","authors":"Brenda Mary Dawa, Rosalind Parkes-Ratanshi, Annet Onzia, Emmanuel Mande, George Katende, Yukari C Manabe, Matthew M Hamill","doi":"10.1186/s40834-026-00456-w","DOIUrl":"10.1186/s40834-026-00456-w","url":null,"abstract":"<p><strong>Background: </strong>Genital ulcer disease (GUD), a common clinical presentation at health facilities in Uganda, is often caused by sexually transmitted infections (STIs) and increases the risk of HIV. Family planning (FP) methods are effective for preventing unintended pregnancies, while some methods, namely male and female condoms, also reduce the risk of STI transmission. However, little has been documented about FP use among individuals with GUD in Uganda.</p><p><strong>Methods: </strong>Patients with clinician-confirmed genital ulcers were enrolled for a GUD study at six sites across government clinics and community outreaches in Kampala, Wakiso, and Kalangala, Uganda, between July/2023 and June/2024. Demographic, behavioral, and family planning use data were collected in English and Luganda using prespecified questionnaires. Urine and genital swabs were collected for gonorrhea and chlamydia testing and blood for HIV and syphilis antibodies using rapid diagnostic tests (RDT). Pregnant women were excluded from the analysis. Associations with FP use were explored using rank sum tests, chi-square, and Fisher's exact tests as appropriate.</p><p><strong>Results: </strong>Of 104 participants with confirmed genital ulceration, 75(72.1%) were women, 12(16.0%) of whom were pregnant. Overall, of 92 non-pregnant participants, 36(39.1%) had a reactive HIV RDT; 10(27.8%) were new diagnoses. Nine (9.8%) had positive tests for gonorrhea, chlamydia, or syphilis. No men reported condom use. Of the 63 non-pregnant female participants analyzed, 29(46.0%) reported current FP use. Subdermal implants were the most used method in 15/29(51.7%). Twenty-one (33.3%) reported ≥ 2 sexual partners in the past 3 months. FP use was significantly associated with younger age, being married, transactional sex, ≥ 2 sexual partners in the past 3 months, and being sexually active in the past month.</p><p><strong>Conclusion: </strong>More than one-sixth of women with GUD were pregnant. The uptake of FP among individuals with GUD was low, and HIV/STI prevalence was high. Effective FP has a key role in preventing unintended pregnancies and mother-to-child transmission of STIs. These findings highlight the need for educational and policy strategies to increase sensitization on sexual health, including increasing uptake of FP and encouraging male condom use in a population at high risk of STIs.</p>","PeriodicalId":93956,"journal":{"name":"Contraception and reproductive medicine","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13196166/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147864804","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A comparative study on the outcomes of post-placental intrauterine contraceptive device insertion between preterm and term deliveries: a hospital-based observational study.","authors":"Soni Kumari, Sarita Singh, Aditi Chawla, Abhishek Lachyan","doi":"10.1186/s40834-026-00455-x","DOIUrl":"10.1186/s40834-026-00455-x","url":null,"abstract":"<p><strong>Background: </strong>India is the most populous country in the world, with over 1.4 billion people, facing significant challenges in maternal and reproductive health services. Family planning is a key strategy to prevent unintended pregnancies and optimize spacing between births. Post-placental intrauterine contraceptive device (PPIUCD) insertion is a safe, long-acting, reversible, and cost-effective method of immediate postpartum contraception. This study aimed to compare continuation rates, complications, and expulsion rates of PPIUCD insertion between preterm and term deliveries, and to explore factors influencing outcomes.</p><p><strong>Settings and design: </strong>Hospital-based observational study conducted at VMMC & Safdarjung Hospital, New Delhi.</p><p><strong>Materials and methods: </strong>Among 2000 antenatal women counseled for immediate postpartum IUCD insertion, 240 (12%) consented and were enrolled. Participants were divided equally into preterm (n = 120) and term (n = 120) groups. CuT 380 A devices were inserted immediately post-placentally. Follow-up was conducted at 3, 6, and 12 months to assess continuation, satisfaction, expulsion, and complications. Counseling was provided antenatally and postnatally using standardized IEC materials, models, and checklists.</p><p><strong>Statistical analysis: </strong>Categorical variables were presented as numbers and percentages. Chi-square tests and t-tests were applied where appropriate using SPSS 24.0, with p < 0.05 considered statistically significant.</p><p><strong>Results: </strong>The mean age of participants was 26.9 ± 3.2 years. Continuation rates at 6 and 12 months were significantly higher in term deliveries (96.6% and 85.0%) than in preterm deliveries (88.3% and 63.3%; p < 0.05). Spontaneous IUCD expulsion was higher in preterm women at 6 months (7.5% vs. 1.6%) and 12 months (15.3% vs. 6.4%; p < 0.05), potentially due to smaller uterine size, underdeveloped uterine cavity, and variations in uterine involution. Satisfaction rates were high and comparable between groups at 12 months (81% preterm vs. 85% term; p > 0.05). Acceptance rates were low overall (12%), highlighting the need for structured counseling, provider training, and peer education to improve uptake.</p><p><strong>Conclusion: </strong>Post-placental IUCD insertion is safe, effective, and cost-efficient in both preterm and term deliveries. Higher expulsion rates in preterm deliveries warrant focused counseling and follow-up. Structured antenatal and postnatal counseling, combined with provider confidence and patient education, is essential to increase acceptance and continuation of PPIUCD, particularly in populations at higher risk of early postpartum fertility.</p>","PeriodicalId":93956,"journal":{"name":"Contraception and reproductive medicine","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13195869/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147847491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Community-level variations in contraceptive use among women in union and those not in union: a comparative study of 35 sub-Saharan African countries.","authors":"Hailu Refera Debere, Shuai Guo, Xiaoying Zheng","doi":"10.1186/s40834-026-00453-z","DOIUrl":"10.1186/s40834-026-00453-z","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Global fertility rates are nearing replacement levels, yet Sub-Saharan Africa continues to experience high fertility with slow declines. Modern contraceptive use is critical to fertility reduction, but comparative multi-country analyses remain limited, particularly for women not in union (never or formerly married). This study compares contraceptive use between women in union and those not in union across the region.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Pooled Demographic and Health Survey (DHS) data from 35 sub-Saharan African countries were analyzed to examine the determinants of modern contraceptive use. We incorporated sampling weights to ensure representativeness, and the final weighted analytic sample comprised 472,811 women. A multilevel random-intercept logistic regression model was employed to account for the hierarchical data structure, with women nested within communities and countries. Both individual- and community-level covariates were included, and analyses were stratified by marital status (in union, never married, and formerly married). Contextual variations in contraceptive use were assessed by estimating intraclass correlation coefficients (ICCs) at the community and country levels. To assess changes in community-level heterogeneity over time, multiple DHS survey waves were analyzed separately for each country, and intraclass correlation coefficients (ICCs) were synthesized using a meta-analytic approach.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The study found that among women in union, older women are less likely to use contraceptive methods, whereas among women not in union, older women are more likely to use contraceptives. Higher educational attainment, access to media, exposure to family planning information, better household socioeconomic status, and women's employment are positively associated with contraceptive use, regardless of marital status. Beyond individual and household factors, community-level variables, such as poverty rates, literacy levels, and health coverage, are also significantly associated with modern contraceptive use. Additionally, the study revealed substantial variation in contraceptive use across countries and communities. Countries with low contraceptive prevalence tended to show greater disparities in usage, whereas those with higher prevalence exhibited more consistent and uniform contraceptive use across communities.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;While various individual and community-level factors are associated with contraceptive use in sub-Saharan Africa, there are significant contextual variations both across and within countries. Nations with low levels of modern contraceptive use, particularly in Western and Central Africa, often show inconsistent coverage across communities. In contrast, countries with higher contraceptive prevalence, particularly in Southern Africa and, to some extent, Eastern Africa, tend to exhibit more consistent and equitable coverage across t","PeriodicalId":93956,"journal":{"name":"Contraception and reproductive medicine","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13267268/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147792409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What factors drive unmet need for modern contraception among sexually active adolescent girls and young women in Zambia: a multilevel analysis.","authors":"Million Phiri, Sibongile Namayawa, Clifford Odimegwu","doi":"10.1186/s40834-026-00449-9","DOIUrl":"10.1186/s40834-026-00449-9","url":null,"abstract":"<p><p>BACKGROUND: Unintended pregnancies are still a public health concern, particularly among adolescent girls and young women (AGYW) in sub-Saharan Africa and Zambia in particular. This study explored the drivers of unmet need for modern contraception among sexually active parous AGYW in Zambia. METHODS: The study was cross-sectional using national data from the 2018 Zambia Demographic and Health Survey (ZDHS), focusing on fecund, sexually active adolescent girls and young women aged 15–24 years. Unmet need for contraception refers to women of reproductive age who are sexually active and fertile, who wish to postpone their next birth or stop childbearing altogether, but are not using any method of contraception. A sample of 2,466 parous AGYW was included in the analysis. The outcome variable for this study is unmet need for contraception. A multilevel binary logistic regression models were fitted to examine the influence of individual and community level factors on unmet need for contraception. RESULTS: The prevalence of unmet need for contraception for spacing births among parous AGYW in Zambia in 2018 was 17.7% (95% CI, 16.0, 19.7). There were increased chances of experiencing unmet need for contraception among adolescents aged 15 to 19 [aOR = 1.64, 95% CI = 1.24–2.18], unmarried [aOR = 1.35, 95% CI = 1.03–1.79], and those from communities with a high desire for large family size [aOR = 1.43, 95% CI = 1.06–1.93]. In contrast, those from communities with high access to home visits from community health workers [aOR = 0.70, 95% CI = 0.50–0.99] and those who owned mobile phones had lower odds of experiencing unmet need for contraception [aOR = 0.67, 95% CI = 0.49–0.91]. CONCLUSION: The proportion of AGYW with unmet need for contraception in Zambia remains high. Both individual and community-level factors influenced unmet need for contraception among AGYW in Zambia. Integrating community level factors when designing sexual and reproductive health interventions for young people would be key to enhance access and utilisation of contraceptive methods. </p>","PeriodicalId":93956,"journal":{"name":"Contraception and reproductive medicine","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13237977/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147792363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Modern contraceptive discontinuation and demand-and-supply-side method-mix in urban settings in Eastern Uganda: a mixed methods study.","authors":"Ronald Wasswa, Jacquellyn Nambi Ssanyu, Catherine Birabwa, Felix Kizito, Peter Waiswa, Rornald Muhumuza Kananura","doi":"10.1186/s40834-026-00450-2","DOIUrl":"10.1186/s40834-026-00450-2","url":null,"abstract":"<p><p>BACKGROUND: Family planning (FP) is a key public health intervention with broad health, social, and economic benefits. However, access and sustained use remain limited in many low- and middle-income countries. In Uganda, rapid urbanization presents new challenges, including inequities in modern contraceptive access and continuity. We examined how demand- and supply-side factors influence method mix and discontinuation in the urban settings of Jinja and Iganga in Eastern Uganda. METHOD: We used secondary data from the Urban Thrive Project collected from November 2021 to March 2022 in Jinja City and Iganga Municipality. The dataset included 1,023 women (15–49 years), a health facility assessment (N = 150), and qualitative data from 24 in-depth interviews and 12 focus group discussions. Quantitative analysis assessed modern contraceptive method mix using method skew and the average deviation (AD) index, with logistic regression used to identify factors associated with discontinuation. Qualitative data were thematically analyzed using an inductive approach to explore factors shaping modern contraceptive method choice and discontinuation. RESULTS: Demand-side modern contraceptive method mix was dominated by injectables (36%), implants (24%), and condoms (20%) with AD index (10%) confirming an imbalance in method use. Condom use was more common among younger and unmarried women, while implants were reported mostly by wealthier and more educated women. Qualitative findings underscored accessibility, affordability, and relationship dynamics as key determinants of modern contraceptive method choice and continuity. Modern contraceptive method discontinuation rate was 7%, mainly due to side effects and partner opposition and was more likely among women aged 35–49 (aOR = 1.33; 95% CI: 1.13–1.57), the poor (aOR = 4.77; 95% CI: 3.76–6.06), and those with secondary/higher education (aOR = 8.84; 95% CI: 4.60–16.98). Conversely, being married (aOR = 0.86; 95% CI: 0.75–0.99) and exposed to FP information (aOR = 0.18; 95% CI: 0.16–0.21) were protective. CONCLUSION: The imbalance in method mix and the reported discontinuation rate reflect supply- and demand-side limitations, with implications for voluntary FP. Addressing these through broader method availability, better counseling, and accurate information is key to supporting informed and sustained use. </p>","PeriodicalId":93956,"journal":{"name":"Contraception and reproductive medicine","volume":"11 1","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13112612/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147792427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hope for the best, prepare for the worst: male partner involvement in modern family planning and its effect on women's mental health in Northern Ghana - a community-based cross-sectional study.","authors":"Emmanuel Abu Bonsra, Boateng Justice, Emmanuel Adjei Kyeremeh, Elsie Fafa King, Gifty Nyameboame, Petra Osei Amankwah, Berlinda Agbenyenu","doi":"10.1186/s40834-026-00451-1","DOIUrl":"10.1186/s40834-026-00451-1","url":null,"abstract":"<p><p>BACKGROUND: Family planning is essential in promoting reproductive health and improving overall well-being. However, male involvement in modern family planning remains relatively low, particularly in low- and middle-income countries, and limited male participation has been associated with challenges in women’s mental health due to lack of partner support. OBJECTIVES: To determine the level of male partner involvement in modern family planning utilization and its effect on women’s mental health in the Northern Region of Ghana. METHODS: A community-based cross-sectional study design was employed using a multi-stage sampling method. Data were collected from 1,684 respondents via structured questionnaires and the DASS-21 scale. Descriptive and inferential statistics, including regression analysis, were performed using STATA v17. RESULT: The study found that 68.2% of males were not involved in family planning, with 501 (29.8%) reporting good mental health. Multivariable logistic regression analysis showed that women aged 31–45 years were 57% less likely to have male partner involvement in family planning compared to those in the 18–25 age group (aOR = 0.43, 95% CI: 0.01–0.51, p = 0.001). Women who reported societal beliefs hindering male partner participation in family planning had 60% lower odds of their partner being involved (aOR = 0.4, 95% CI: 0.23–1.06, p = 0.005). Women with tertiary education were twice as likely to have male partner involvement compared to those with JHS/Middle school education (aOR = 2.0, 95% CI: 1.20–4.54, p = 0.000). Also women whose partners were not involved in family planning had 12.3 times higher odds of reporting poor mental health compared to those whose partners were involved (AOR = 12.3, 95% CI: 6.1-14.34, p = 0.000). CONCLUSION: This study found low male involvement in modern family planning utilization. Factors such as age, education, employment, and cultural beliefs were identified as influencing male participation in family planning. Increased male involvement contributes positively to women’s mental well-being. These findings underline the need for greater engagement of male partners in family planning programs and emphasize the importance of supporting women’s mental health through improved communication and collaborative healthcare practices. Integrating mental health support into family planning programs and implementing community-based approaches can enhance male participation in reproductive health. </p>","PeriodicalId":93956,"journal":{"name":"Contraception and reproductive medicine","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13227723/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147730994","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness evaluation of endometrial receptivity analysis for recurrent implantation failure and analysis of clinical factors affecting implantation window.","authors":"Xiaofei Wang, Yan Zhou, Xinyue Zhou, Xiangqian Meng, Fangfang He, Yuejiao Huang, Xuehong Zhang, Ling Deng","doi":"10.1186/s40834-026-00447-x","DOIUrl":"10.1186/s40834-026-00447-x","url":null,"abstract":"<p><p>BACKGROUND: Recurrent implantation failure (RIF) is a major challenge in in vitro fertilization (IVF). The window of implantation (WOI) is the endometrium’s receptive period for embryos, and endometrial receptivity analysis (ERA) is a potential intervention for transfer failure, requiring further validation. This study aimed to evaluate the efficacy of ERA in improving clinical outcomes for patients with RIF and to identify clinical factors that influence WOI displacement in this patient population. METHODS: A total of 284 RIF patients undergoing assisted reproductive technology (ART) were divided into ERA (n = 131) and non-ERA (n = 153) groups; the ERA group was subclassified into WOI displacement (n = 87) and normal (n = 44) subgroups. Collected clinical data were compared across these groups to analyze differences in baseline characteristics and outcomes. RESULTS: Results showed ERA-guided personalized transfer significantly improved clinical pregnancy rate (88.55% vs. 32.03%) and embryo implantation rate (63.72% vs. 27.42%) versus non-ERA. WOI displacement was identified in 66.41% of ERA patients, with induced abortion history emerging as a potential correlative factor. CONCLUSIONS: ERA effectively assesses endometrial WOI in patients with RIF and contributes to improved success rates of embryo transfer, supporting its clinical value as a personalized intervention for this patient cohort. </p>","PeriodicalId":93956,"journal":{"name":"Contraception and reproductive medicine","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13185225/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147663283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trends and determinants of modern contraceptive use among sexually active adolescent females in Bangladesh: Evidence of four national surveys (2011-2022).","authors":"Md Aslam Hossain, Md Yeasin Arafat, Bristi Rani Saha, Md Mothashin, Abu Sayed Md Al Mamun, Md Golam Hossain","doi":"10.1186/s40834-026-00446-y","DOIUrl":"10.1186/s40834-026-00446-y","url":null,"abstract":"<p><p>BACKGROUND: Modern contraceptive methods (MCM) reduce the risk of unintended pregnancy and short birth intervals. Despite growing attention to reproductive health, the factors influencing the use of MCM among sexually active adolescent females in Bangladesh remain underexplored. The objectives of this study are to examine trends in the use of MCM and to identify the significant factors associated with the usage of MCM among sexually active adolescent females in Bangladesh. METHODS: In this study, we used secondary data from the 2011, 2014, 2017-18, and 2022 rounds of the Bangladesh Demographic and Health Surveys (BDHS) to examine trends in the use of MCM. Additionally, we analyzed data from the selected surveys to identify factors associated with the use of MCM. Male and female sterilization, intrauterine devices (IUDs), injectables, implants, contraceptive pills, male and female condoms, emergency contraception, the standard days method, and the lactational amenorrhea method were considered modern contraceptive methods in the study. A logistic regression model was used to identify the factors influencing the use of MCM. RESULTS: This study revealed that the proportion of the use of MCM among overall surveys was found to be 53.2%, and MCM was more used in urban areas compared to rural areas. It was noted that no consistent pattern was observed in urban, rural, and overall survey. The model identified seven factors associated with the use of MCM among adolescent females: (i) living in the Barisal, Dhaka, Khulna, and Rajshahi divisions; (ii) residing in an urban area; (iii) mass media exposure; (iv) living with one or more children, (v) terminating pregnancy, (vi) visits by a family planning worker; (vii) knowledge on family planning; and (viii) moderate contraceptive-using autonomy. CONCLUSION: This study highlights key factors influencing the use of MCM among sexually active adolescent females. Addressing these factors-such as strengthening public health sector services, improving access to education, enhancing socioeconomic status, and promoting contraceptive autonomy-is essential to increasing MCM usage among adolescent females. </p>","PeriodicalId":93956,"journal":{"name":"Contraception and reproductive medicine","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13188663/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147629405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}