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Patterns of contraception utilization among reproductive-aged women with thyroid cancer undergoing radioiodine ablation: A study at Hasan Sadikin Hospital

Haidarotul Milla(1), Mulyanusa A. Ritonga(2), Hartanto Bayuaji(3), Erwin Affandi Soeriadi(4),


(1) Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Padjadjaran –Dr. Hasan Sadikin General Hospital, Bandung, Indonesia
(2) Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Padjadjaran –Dr. Hasan Sadikin General Hospital, Bandung, Indonesia1 ; Subdivison of Fertility and Endocrinology, Faculty of Medicine, Universitas Padjadjaran –Dr. Hasan Sadikin General Hospital, Bandung, Indonesia
(3) Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Padjadjaran –Dr. Hasan Sadikin General Hospital, Bandung, Indonesia1 ; Subdivison of Fertility and Endocrinology, Faculty of Medicine, Universitas Padjadjaran –Dr. Hasan Sadikin General Hospital, Bandung, Indonesia
(4) Department of Nuclear Medicine, Faculty of Medicine, Universitas Padjadjaran – Dr. Hasan Sadikin General Hospital, Bandung, Indonesia
Corresponding Author

Abstract


The incidence of new cases of thyroid cancer worldwide is around 10.1/100.000 in woman dan 3.1/100.000 in men. Women with thyroid cancer are advised to avoid pregnancy while undergoing radioablation due to teratogenicity. Therefore, it is crucial to utilize contraception to avoid pregnancy during treatment. The purpose of this study was to determine the characteristics of contraceptive use patterns in women with thyroid cancer of reproductive age who underwent radioablation at Hasan Sadikin Hospital Bandung.Cross-sectional study conducted at Hasan Sadikin Hospital Bandung in May 2023. The research sample was all female thyroid cancer of reproductive age who underwent radioablation at the Nuclear Medicine polyclinic of Dr. Hasan Sadikin Bandung in January-December 2022 by purposive sampling. Data obtained from patient medical records and primary data from patients. A total of 450 patients fulfilled inclusion criteria, but only 329 analyzed with complete data. Majority of the patient was in age group 35-49 years (58.1%), parity >1 (55.9%), last education high school (39.2%), married (81.8%), type of papillary thyroid carcinoma (79.9%), sources of information about contraception from doctors (71.7%), and 75.4% use contraception. The most widely used type of contraception was intrauterine device (IUD), accounting for 28.6% patients. Approximately 75.4% patient use contraception. The most widely used type of contraception is the IUD. Contraception counselling is important for increasing contraceptive use rates among women with thyroid cancer. Further research in the form of analytical research is needed to assess the factors that influence contraceptive use in women with thyroid cancer of reproductive age. (Afr J Reprod Health 2024; 28 [5]: 39-46).

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