301 Contraceptive practices and gynecological survey in women with cystic fibrosis

Abstract

Objectives To evaluate contraceptives practices and gynecological cares among the CF women attending Lyon University Adult CF centre. Methods A questionnaire was proposed to all of the 155 women attending the CF adult centre in 2014. Contraceptive methods and gynaecological health care were recorded. Other clinical records included diabetes mellitus, transplantation and previous pregnancy. Results 120 questionnaires were recorded. 2 were post menopausal; 5 were pregnant. The overall rate of contraception in the remaining 113 was 64%, 61% for diabetic women. Oral contraception (OC) represents 65%, predominantly estroprogestative (47%); diabetic patients used progestin-only pill in 26%. Among the 19 transplanted women, 7 didn't use any contraception; 5 were single and 2 want a child. 27 women had at least one previous pregnancy. 44% of them used OC, 19% intrauterine device, 11% tubal ligation or stent. 74% declared a regular gynaecological follow-up (89% in transplanted women), mainly by a gynaecologist. 55% had ever had a pap smear test, but some of there were above 25 years old. Only 42% of patients reported having had a pap smear test in the last 3 years. Among transplanted patients, 58% ever had a pap smear test despite immunosuppressive therapy. Conclusion This preliminary study of practices highlights the importance of a better information about sexuality, fertility and reproductive health in CF adolescents and young women in order to avoid unplanned pregnancy, to optimize contraceptives choice in relation to specific clinical conditions. The gynecological health care needs also to be optimize with better information of recommanded follow-up.