DEPO MEDROKSI PROGESTERON ASETAT (DMPA) INCREASES BODY MASS INDEX OF ACCEPTORS BUT DECREASES THEIR LIBIDO

Dewi Triloka Wulandari, Dian Eka Januriwasti

Abstract

Background: Depo Medroksi Progesterone Acetate (DMPA) is one method of contraception. Side effects of this method include weight gain and decreased libido. Meanwhile, one of the factors causing decreased libido is weight. Ideally, the couple of fertile age which is used the contaception is free of sexual making intercourse without fearing pragnant, but,unfortunatelly, the usage of contraception of DMPA indeed, makes the woman libido decreases.

Aims: This study aims to determine the correlation of weight weight with libido on KB injectors Depo Medroksi Progesterone Acetate (DMPA)
Methods: This research is usedin the cross sectional approach. The Population is the acceptor of contraceptive Planning Program on Depo Medroksi Progesteron Acetate (DMPA).Sampling technique used is purposive sampling. The sample size is 29 women people. Weight is measured by the Body Mass Index (BMI) indicator while libido is measured by a Female Sexual Function Index (FSFI) consisting of 22 questions. The statistical test used is Spearman Rank Correlation

Results:The result of the research obtained the most weight at the normal level that is 20 people (68,96%). Libido acceptor mostly decreased libido that is 21 people (72,41%) with libido level most at the level of desire phase disturbance that is 10 people (34,5%), from result of statistic test obtained result there is significant correlation between body weight With libido acceptor of Family Planning injecting DMPA with p value 0.002, and patterned positive, it means that the higher weight of acceptor of injecting DMPA hence higher also libido disorder level. A relationship of 0.573 shows the strength of the intermediate relationship.

Conclusion: There is a significant correlation between body weight with libido acceptor of injecting Depo Medroksi Progesteron Acetate (DMPA) with p value 0,002. And patterned positive, the working area of Public Health Center at Ujung Pring Bangkalan East Java meaning that the higher the weight of KB contraceptive injectors DMPA the higher the level of libido disturbances. The correlation coefficient of 0.460 shows the correlation strength of body weight with libido in the intermediate relationship. 

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References

Hartanto H. "Keluarga berencana dan kontrasepsi". Jakarta: Pustaka Sinar Harapan; 2004.

Manuaba IBG. "Ilmu kebidanan, penyakit kandungan, dan keluarga berencana untuk pendidikan bidan". Jakarta: EGC;

Prawirohardjo S. "Buku panduan praktis pelayanan kontrasepsi". Jakarta: Yayasan Bina Pustaka Sarwono Prawirohardjo;

Speroff L. "Pedoman klinis kontrasepsi". Jakarta: EGC; 2005.

Nault AM, Peipert JF, Zhao Q, Madden T, Secura GM. Validity of perceived weight gain in women using long-acting

reversible contraception and depot medroxyprogesterone acetate. American Journal of Obstetrics and Gynecology.

;208(1):48.e1-.e8.

Wijaya A. "Seksplorasi 55 masalah seksual". Jakarta: Gramedia; 2005.

Skynews. "Seks, relasi". 2008.

Notoatmodjo S. "Metodologi penelitian kesehatan". Jakarta: Rineka Pustaka; 2002.

Rosen. Journal of sex & marital therapy. 2000.

Smith NK, Jozkowski KN, Sanders SA. Hormonal Contraception and Female Pain, Orgasm and Sexual Pleasure. The Journal of Sexual Medicine. 2014;11(2):462-70.

Toruan P. Fat-loss not weight-loss. Jakarta: Trans Media Pustaka; 2008.

Baziad A. "Kontrasepsi Hormonal". Jakarta: Yayasan Bina Pustaka Sarwono Prawirohardjo; 2002.

Almatsier S. "Prinsip Dasar Ilmu Gizi". Jakarta: Gramedia; 2003.

Bonny AE, Secic M, Cromer BA. Relationship between Weight and Bone Mineral Density in Adolescents on Hormonal

Contraception. Journal of Pediatric and Adolescent Gynecology. 2011;24(1):35-8.

Oepomo TD. Current diagnosis and treatment of infertility in female ( pemeriksaan dan penanganan infertilitas perempuan). Surakarta: Panitia Sumpah Dokter 166 FK-UNS; 2008.

Kapp N, Abitbol JL, Mathé H, Scherrer B, Guillard H, Gainer E, et al. Effect of body weight and BMI on the efficacy of levonorgestrel emergency contraception. Contraception. 2015;91(2):97-104.

Burrows LJ, Basha M, Goldstein AT. The Effects of Hormonal Contraceptives on Female Sexuality: A Review. The

Journal of Sexual Medicine. 2012;9(9):2213-23.

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