7/06/18

1

Assessment of sexual-reproductive health in women with severe-moderate psychiatric pathology. MA Obiol, JC Quilez, M Lozano, P Lobo, JM Ramada, A Iftimi, JR Serrano, R Lertxundi.

2012-201773 women (16-52) years old

• Average age: 31.8 • 35.7% had antecedents of abortion• 41.6% had children. • 65.21% were active smokers.• 41.17% reported previous drug use. • 68% performed gynecological examinations

regularly.

Prevalente psychiatric pathologies

• Schizophrenia (26%)• Bipolar disorder (20.5%) • Personality disorders (20.5%)• Depression (13.6%)• Hyperactivity disorder with attention deficit (6.8%)• Obsessive-compulsive disorder (4.1%)• Anorexia nervosa (4.1%)• Delirious disorders (2.7%)• Agoraphobia (1.3%)

Contraceptive methods used

•Condom (36%)

•Withdrawal (27%)

• Copper Intrauterine device (15%)

• Combined oral contraceptive (10%)

• Depot medroxyprogesterone acetate (4%)

• Subdermal implant (4%)

• Progestin-only pill (1.3%)

Contraceptive Counseling

Decrease in the use of low-efficacy methods:Condom: from 27% to 10.2% Withdrawal: from 15% to 0%

Increase in the use of high-efficacy methods:Subdermal implant from 4% to 25%Copper IUD: from 15% to 22%Levonorgestrel intrauterine system: from 0% to 5.8%

And…

• Three women requested preconception care • Three abortions requests were registered• Three altered cervical swabs were tested• Two cases of Chlamydia were detected

• Regarding the quality of sexual life46% expressed a wish to motherhood in the future… LARC60.3% reported a satisfactory sexual life37.7% had been victims of domestic violence

7/06/18

2

All women are equal but some are more equal than others…And others are less equal.

On behalf of SEC Team

•Marian Obiol.• Jotxe Quilez.• Paloma Lobo. • Jose Ramón Serrano.• Roberto Lertxundi.

Thank you for your attention