The Intimate Link: A Systematic Review of Highly Effective Reversible Contraception and Women’s Sexual Experience

Contraception is expressly designed for nonprocreative sexual activity, but we know little about how methods shape women’s sexual experience. To systematically review the literature on highly effective reversible contraception (HERC) and sexual experiences. MEDLINE, SCOPUS, and Google Scholar were searched for relevant literature. Eleven studies met the inclusion criteria; all were conducted outside of the United States. All studies reviewed found either improvements or no change in sexual experience and function outcomes with HERC use. A need exists for more prospective studies with a wider range of measures to assess HERC methods’ impact on women’s sexual experiences.

[1]  Julie Fennell "And Isn't that the point?": pleasure and contraceptive decisions. , 2014, Contraception.

[2]  J. Higgins ARHP Commentary — Thinking (Re)Productively Celebration meets caution: LARC's boons, potential busts, and the benefits of a reproductive justice approach ☆,☆☆ , 2014 .

[3]  S. Sanders,et al.  Hormonal contraception and female pain, orgasm and sexual pleasure. , 2014, The journal of sexual medicine.

[4]  L. Finer,et al.  Research and Practice , 2001 .

[5]  I. Narciso,et al.  What is Sexual Satisfaction? Thematic Analysis of Lay People's Definitions , 2014, Journal of sex research.

[6]  G. Bifulco,et al.  Impact of an implantable steroid contraceptive (etonogestrel-releasing implant) on quality of life and sexual function: a preliminary study , 2014, Gynecological endocrinology : the official journal of the International Society of Gynecological Endocrinology.

[7]  Anne M Johnson,et al.  Sexual function in Britain: findings from the third National Survey of Sexual Attitudes and Lifestyles (Natsal-3) , 2013, The Lancet.

[8]  R. Nasrin,et al.  Sexual function in Iranian women using different methods of contraception. , 2013, Journal of clinical nursing.

[9]  Mats Fredrikson,et al.  Oral contraceptive use changes brain activity and mood in women with previous negative affect on the pill—A double-blinded, placebo-controlled randomized trial of a levonorgestrel-containing combined oral contraceptive , 2013, Psychoneuroendocrinology.

[10]  T. Madden Long-acting removable contraceptives prevent teen pregnancy. , 2013, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[11]  K. Ethier,et al.  Meeting the contraceptive needs of teens and young adults: youth-friendly and long-acting reversible contraceptive services in U.S. family planning facilities. , 2013, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[12]  R. Chmel,et al.  The influence of combined oral contraceptives on female sexual desire: A systematic review , 2013, The European journal of contraception & reproductive health care : the official journal of the European Society of Contraception.

[13]  L. Finer,et al.  Changes in use of long-acting contraceptive methods in the United States, 2007-2009. , 2012, Fertility and sterility.

[14]  S. Weyers,et al.  Sexual functioning in women using levonorgestrel-releasing intrauterine systems as compared to copper intrauterine devices. , 2012, The journal of sexual medicine.

[15]  C. Graham Condom use in the context of sex research: a commentary. , 2012, Sexual health.

[16]  L. Finer,et al.  Unintended pregnancy in the United States: incidence and disparities, 2006. , 2011, Contraception.

[17]  G. Benagiano,et al.  Use of the levonorgestrel-releasing intrauterine system, quality of life and sexuality. Experience in an Italian family planning center. , 2011, Contraception.

[18]  Devon J. Hensel,et al.  The association of sexual interest and sexual behaviors among adolescent women: A daily diary perspective , 2011, Hormones and Behavior.

[19]  D. Menzies,et al.  Systematic reviews and meta-analyses , 2019, Practical Biostatistics.

[20]  R. H. Zahraei,et al.  A study on the relationship of sexual satisfaction and common contraceptive methods employed by the couples , 2010, Iranian journal of nursing and midwifery research.

[21]  D. Greydanus,et al.  Female sexual dysfunction and adolescents , 2010, Current opinion in obstetrics & gynecology.

[22]  D. Herbenick,et al.  Perceptions of condom fit and feel among men living with HIV. , 2010, AIDS patient care and STDs.

[23]  A. Štulhofer,et al.  Development and Bicultural Validation of the New Sexual Satisfaction Scale , 2010, Journal of sex research.

[24]  D. Archer,et al.  Levonorgestrel effects on serum androgens, sex hormone-binding globulin levels, hair shaft diameter, and sexual function. , 2010, Fertility and sterility.

[25]  D. Goldmeier,et al.  Sexually transmitted diseases and sexual function. , 2010, The journal of sexual medicine.

[26]  M. B. Shah,et al.  Obesity and sexuality in women. , 2009, Obstetrics and gynecology clinics of North America.

[27]  Gynecologists ACOG PRACTICE BULLETIN , 2009 .

[28]  M. Api,et al.  Use of the Levonorgestrel-IUS in the treatment of menorrhagia: assessment of quality of life in Turkish users , 2009, Archives of Gynecology and Obstetrics.

[29]  M. Reece,et al.  Penile dimensions and men’s perceptions of condom fit and feel , 2008, Sexually Transmitted Infections.

[30]  J. Higgins,et al.  Relationships between condoms, hormonal methods, and sexual pleasure and satisfaction: an exploratory analysis from the Women's Well-Being and Sexuality Study. , 2008, Sexual health.

[31]  A. Drosdzol,et al.  Evaluation of quality of life and sexual functioning of women using levonorgestrel-releasing intrauterine contraceptive system--Mirena. , 2008, Collegium antropologicum.

[32]  B. Stuckey Female sexual function and dysfunction in the reproductive years: the influence of endogenous and exogenous sex hormones. , 2008, The journal of sexual medicine.

[33]  J. Higgins,et al.  Pleasure, power, and inequality: incorporating sexuality into research on contraceptive use. , 2008, American journal of public health.

[34]  P. Jern,et al.  Female Sexual Function and Its Associations with Number of Children, Pregnancy, and Relationship Satisfaction , 2008, Journal of sex & marital therapy.

[35]  Andreia B. Alexander,et al.  Experiences of condom fit and feel among African-American men who have sex with men , 2007, Sexually Transmitted Infections.

[36]  S. Grénman,et al.  The effect of hysterectomy or levonorgestrel‐releasing intrauterine system on sexual functioning among women with menorrhagia: a 5‐year randomised controlled trial , 2007, BJOG : an international journal of obstetrics and gynaecology.

[37]  Kurt P Spindler,et al.  How to Write a Systematic Review , 2007, Clinical orthopaedics and related research.

[38]  M. Çolakoğlu,et al.  Contraceptive efficacy and side effects of Implanon® , 2007, The European journal of contraception & reproductive health care : the official journal of the European Society of Contraception.

[39]  S. Sanders,et al.  Erection loss in association with condom use among young men attending a public STI clinic: potential correlates and implications for risk behaviour. , 2006, Sexual health.

[40]  J. Schaffir Hormonal Contraception and Sexual Desire: A Critical Review , 2006, Journal of sex & marital therapy.

[41]  L. Finer,et al.  Perspectives on sexual and reproductive health , 2002 .

[42]  E. Byers,et al.  Further Validation of the Interpersonal Exchange Model of Sexual Satisfaction , 2006, Journal of sex & marital therapy.

[43]  I. Goldstein,et al.  Sexual experience of female partners of men with erectile dysfunction: the female experience of men's attitudes to life events and sexuality (FEMALES) study. , 2005, The journal of sexual medicine.

[44]  S. Newcomer,et al.  Critical Issues in Contraceptive and STI Acceptability Research , 2005 .

[45]  R. Rosen,et al.  The Female Sexual Function Index (FSFI): Cross-Validation and Development of Clinical Cutoff Scores , 2005, Journal of sex & marital therapy.

[46]  Maria Kefalas,et al.  Promises I Can Keep: Why Poor Women Put Motherhood Before Marriage , 2005 .

[47]  ACOG practice bulletin. Clinical management guidelines for obstetrician-gynecologists. Number 59, January 2005. Intrauterine device. , 2005, Obstetrics and gynecology.

[48]  R. Li,et al.  Impact of common contraceptive methods on quality of life and sexual function in Hong Kong Chinese women. , 2004, Contraception.

[49]  S. Sanders,et al.  If the condom fits, wear it: a qualitative study of young African-American men , 2004, Sexually Transmitted Infections.

[50]  I. Rauramo,et al.  Clinical performance of a levonorgestrel-releasing intrauterine system and oral contraceptives in young nulliparous women: a comparative study. , 2004, Contraception.

[51]  E. Ortega,et al.  A comparative analysis of the modification of sexual desire of users of oral hormonal contraceptives and intrauterine contraceptive devices , 2003, The European journal of contraception & reproductive health care : the official journal of the European Society of Contraception.

[52]  A. Faúndes,et al.  Nonmenstrual adverse events during use of implantable contraceptives for women: data from clinical trials. , 2002, Contraception.

[53]  S. Sanders,et al.  A prospective study of the effects of oral contraceptives on sexuality and well-being and their relationship to discontinuation. , 2001, Contraception.

[54]  L. Derogatis,et al.  Report of the international consensus development conference on female sexual dysfunction: definitions and classifications. , 2000, The Journal of urology.

[55]  Candace S. Brown,et al.  The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. , 2000, Journal of sex & marital therapy.

[56]  B J Oddens,et al.  Women's satisfaction with birth control: a population survey of physical and psychological effects of oral contraceptives, intrauterine devices, condoms, natural family planning, and sterilization among 1466 women. , 1999, Contraception.

[57]  S. Ho,et al.  Contraceptive status and sexual function of climacteric Chinese women. , 1999, Contraception.

[58]  J. Fosbury,et al.  Female sexual function and diabetes , 1998 .

[59]  K. Syrjala,et al.  Prevalence and predictors of sexual dysfunction in long-term survivors of marrow transplantation. , 1998, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[60]  C. M. Davis,et al.  Handbook of Sexuality-Related Measures , 1998 .

[61]  J. Shelby The Best Intentions: Unintended Pregnancy and the Well-Being of Children and Families , 1997 .

[62]  C. Glazener Sexual function after childbirth: women's experiences, persistent morbidity and lack of professional recognition , 1997, British journal of obstetrics and gynaecology.

[63]  D. Rintala,et al.  Sexual functioning among women with physical disabilities. , 1996, Archives of physical medicine and rehabilitation.

[64]  K. Barnhart,et al.  Attitudes and practice of couples regarding sexual relations during the menses and spotting. , 1995, Contraception.

[65]  Sarah S. Brown,et al.  Committee On Unintended Pregnancy , 1995 .

[66]  D. Mutch,et al.  ACOG Practice Bulletin, clinical management guidelines for obstetrician-gynecologists number 98, October 2008 (replaces Practice Bulletin number 58, December 2004). Ultrasonography in pregnancy. , 2008, Obstetrics and gynecology.