Abstract
Sexual satisfaction may influence acceptability and adherence of contraceptive methods, in particular contraceptive vaginal rings (CVR) which are likely to affect sexual relationship. This study aimed to assess female sexual function (FSF) among women using CVRs in Rwanda. Women participating in a CVR clinical trial in Kigali, Rwanda. Mixed-methods were used to assess acceptability and adherence of a CVR (Nuvaring®) in this two arm trial, comparing women with intermittent and extended ring use. FSF was assessed in both arms before and after CVR use. A 6-Item Version of the Female Sexual Function Index (FSFI-6) was administered to measure FSF, assessing for each item optimal function (maximum 5) to poor function (minimum 1). Triangulation of qualitative and quantitative data indicated high acceptability of and adherence to the Nuvaring®. Of a total of 120 women enrolled, ten reported a low baseline FSF score (≤ 19). At the last study visit, 95 women (79.2%) had a high FSF score between 25-30, 23 (19.2%) a moderate score between 20-24 and only two women (1.6%) reported a score ≤ 19. Compared to baseline FSF scores (total mean 24.2 ±3SD), end of study visit scores (total mean 26.5 ± 2.5SD) showed an improved sexual function (p<0.05). A significant improvement between baseline and last visit was seen when looking at all 6 items individually. We did not find a significant difference in improved sexual function between intermittent and extended users. (Inter)personal factors such as the quality of the relationship and the effects on sexual pleasure had an impact on overall acceptability and adherence of the CVR.
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
