Percepción de la mujer con psoriasis en la planificación familiar: Estudio descriptivo, transversal y multicéntrico / Family Planning Concerns Among Women With Psoriasis: A Descriptive, Cross-Sectional, Multicenter Study

Antecedentes y objetivos La psoriasis afecta a un gran porcentaje de mujeres en edad fértil. Nuestro objetivo fue conocer las inquietudes de las mujeres con psoriasis en relación con la planificación familiar. Material y métodos Estudio observacional, descriptivo, transversal y multicéntrico realizado entre marzo del 2020 y octubre del 2021. Se recabaron datos sociodemográficos e inquietudes relacionadas con la planificación familiar de mujeres entre 18-45 años con psoriasis en placas y candidatas a recibir tratamiento sistémico. Resultados Se reclutaron 153 pacientes de 11 centros españoles (edad media: 35,4 ± 8 años, duración media de la enfermedad: 16,7 años); 38,4% de los casos tenían una enfermedad moderada/grave para los médicos, aunque la percepción de la actividad era significativamente superior para las pacientes. En una de cada tres mujeres, la enfermedad limitaba o retrasaba el deseo gestacional. Existía preocupación de que la enfermedad empeorara al tener que retirar o cambiar un fármaco o que los tratamientos perjudicaran al bebé. Alrededor de la mitad de las pacientes no había recibido información sobre planificación familiar en la consulta, especialmente aquellas mujeres sin embarazos previos. Las mujeres con tratamiento biológico (58,7%) tenían mejor situación clínica, mejor calidad de vida y menos alteraciones en la esfera sexual que las pacientes sin tratamiento biológico. Conclusiones Las pacientes con psoriasis tienen numerosas preocupaciones relacionadas con la planificación familiar. En algunos casos, estos miedos podrían llevar a retrasar y/o limitar el deseo gestacional. Sería necesario incrementar la información que se da a las pacientes y mejorar la formación de los dermatólogos en este tema (AU)

Background and objective A significant proportion of women of childbearing age have psoriasis. The aim of this study was to examine family planning concerns in this population. Material and methods Observational, descriptive, cross-sectional, multicenter study conducted between March 2020 and October 2021. We collected sociodemographic data and analyzed responses to a family planning questionnaire administered to women aged 18 to 45 years with plaque psoriasis who were candidates for systemic treatment. Results We studied 153 patients (mean [SD] age, 35.4 [8.0] years; mean disease duration, 16.7 years) being treated at 11 Spanish hospitals. Overall, 38.4% of women were considered to have moderate to severe psoriasis by their physicians; perceived severity ratings were significantly higher among women. Psoriasis affected the women's desire to become pregnant or led to their delaying pregnancy in 1 in 3 respondents. They were concerned that their condition might worsen if they had to discontinue or switch treatment or that the treatment might harm the baby. Approximately half of the women had not received family planning counseling from their physicians, and this was more likely to be the case among never-pregnant women. Women on biologic therapy (58.7%) had better psoriasis control and a better quality of life than women on other treatments. Their sexual health was also less affected. Conclusions Women with psoriasis have numerous family planning concerns, which in some cases can lead them to delay pregnancy or affect their desire to become pregnant. Dermatologists need to receive better training regarding family planning in women with psoriasis so that they can provide their patients with more and better information (AU)

[Translated article] Family Planning Concerns Among Women With Psoriasis: A Descriptive, Cross-Sectional, Multicenter Study / Percepción de la mujer con psoriasis en la planificación familiar: estudio descriptivo, transversal y multicéntrico

Background and objective A significant proportion of women of childbearing age have psoriasis. The aim of this study was to examine family planning concerns in this population. Material and methods Observational, descriptive, cross-sectional, multicenter study conducted between March 2020 and October 2021. We collected sociodemographic data and analyzed responses to a family planning questionnaire administered to women aged 18 to 45 years with plaque psoriasis who were candidates for systemic treatment. Results We studied 153 patients (mean [SD] age, 35.4 [8.0] years; mean disease duration, 16.7 years) being treated at 11 Spanish hospitals. Overall, 38.4% of women were considered to have moderate to severe psoriasis by their physicians; perceived severity ratings were significantly higher among women. Psoriasis affected the women's desire to become pregnant or led to their delaying pregnancy in 1 in 3 respondents. They were concerned that their condition might worsen if they had to discontinue or switch treatment or that the treatment might harm the baby. Approximately half of the women had not received family planning counseling from their physicians, and this was more likely to be the case among never-pregnant women. Women on biologic therapy (58.7%) had better psoriasis control and a better quality of life than women on other treatments. Their sexual health was also less affected. Conclusions Women with psoriasis have numerous family planning concerns, which in some cases can lead them to delay pregnancy or affect their desire to become pregnant. Dermatologists need to receive better training regarding family planning in women with psoriasis so that they can provide their patients with more and better information (AU)

Antecedentes y objetivos La psoriasis afecta a un gran porcentaje de mujeres en edad fértil. Nuestro objetivo fue conocer las inquietudes de las mujeres con psoriasis en relación con la planificación familiar. Material y métodos Estudio observacional, descriptivo, transversal y multicéntrico realizado entre marzo del 2020 y octubre del 2021. Se recabaron datos sociodemográficos e inquietudes relacionadas con la planificación familiar de mujeres entre 18-45 años con psoriasis en placas y candidatas a recibir tratamiento sistémico. Resultados Se reclutaron 153 pacientes de 11 centros españoles (edad media: 35,4 ± 8 años, duración media de la enfermedad: 16,7 años); 38,4% de los casos tenían una enfermedad moderada/grave para los médicos, aunque la percepción de la actividad era significativamente superior para las pacientes. En una de cada tres mujeres, la enfermedad limitaba o retrasaba el deseo gestacional. Existía preocupación de que la enfermedad empeorara al tener que retirar o cambiar un fármaco o que los tratamientos perjudicaran al bebé. Alrededor de la mitad de las pacientes no había recibido información sobre planificación familiar en la consulta, especialmente aquellas mujeres sin embarazos previos. Las mujeres con tratamiento biológico (58,7%) tenían mejor situación clínica, mejor calidad de vida y menos alteraciones en la esfera sexual que las pacientes sin tratamiento biológico. Conclusiones Las pacientes con psoriasis tienen numerosas preocupaciones relacionadas con la planificación familiar. En algunos casos, estos miedos podrían llevar a retrasar y/o limitar el deseo gestacional. Sería necesario incrementar la información que se da a las pacientes y mejorar la formación de los dermatólogos en este tema (AU)

The effect of balanced counseling strategy family planning against attitude, subjective norm, and intentions on the use of modern contraception behavior in the Singgani Public Health Center work area of Palu city

Objective: There is a declining trend in the use of modern contraception in the community. The stagnation of family planning services is due to the lack of optimal family planning counseling. Family Planning Balanced Counseling Strategy (FP-BCS) is a family planning counseling that is practical, interactive, and encourages client participation. This study aimed to analyze the influence of the FP–BCS on attitudes, subjective norms, and intentions on modern contraception in the working area of Singgani Health Center, Palu, Indonesia. Method: This research was a quasi-experimental with non-randomized pretest-posttest along to control group design. The sample of the study was third-trimester pregnant women who did antenatal care in the working area of the Singgani Community Health Center. The total sample was 17 respondents for each group; intervention group (treated by Maternal and Child Health (MCH) book and FP-BCS) and control group (treated by MCH Book without FP-BCS). The influence of FP-BCS toward attitudes, subjective norms, and intentions on modern contraception was statistically analyzed using the Wilcoxon Signed Rank Test, McNemar, Mann–Whitney, and Chi-Square. Result: The Wilcoxon Signed Rank Test and McNemar analysis on the intervention group showed an increase in attitude (p = 0.000), subjective norms (p = 0.000), and intention (p = 0.000). The control group showed an increase in intention (0.031), subjective norms (p = 0.005), but there was no increase in attitude (p = 0.081). The Mann-Whitney and Chi-Square analysis showed differences in attitudes (p = 0.000), subjective norms (p = 0.021), and intentions (p = 0.010) between groups, which were given an FP-BSC and those not given an FP-BCS. Conclusion: All in all, it is expected that Family Planning-Balanced Counseling Strategy will be an option in providing family planning counseling. (AU)

Factors related to the incidence of unmet need in couples of reproductive age in the working area of Marawola Health Center

Objective: This study aimed at determining factors associated with the incidence of unmet need for family planning among couples of reproductive age in the working area of Marawola Health Center, Sigi Regency. Method: This research was an analytic observational study with a cross-sectional study design. The variables in this study included age, education, family planning history, husband's support and unmet need. Data were in the form of primary and secondary data. Data were collected using a questionnaire. The data were analyzed using univariate and bivariate analysis utilizing the Chi-Square test. Population in this study were 4715 couples of reproductive age in the working area of Marawola Health Center. By using Lemeshow's calculation technique and simple random sampling, a sample of 90 people was obtained. Result: The results demonstrated a relationship between age and the incidence of unmet need with p value = 0.004 (p-value ≤0.05); education and the incidence of unmet deed with p value = 0.005 (p-value ≤0.05); family planning history and the incidence of unmet need with p value = 0.002 (p-value ≤0.05); as well as husband's support and the incidence of unmet need with p value = 0.001 (p-value ≤0.05). Conclusion: This study concludes that there is a relationship between age, education, family planning history, and husband's support and the incidence of unmet need for family planning in the working area of Marawola Health Center, Sigi Regency. Therefore, health workers, local governments, and traditional institutions are expected to provide education about family planning to couples of reproductive age (husband and wife) as an attempt to reduce the number of unmet needs in the working area of Marawola Health Center. (AU)

Family planning (KB) practices and the impact on Papuan women reproductive health

Objective: This study aims to describe and analyze KB or family planning practices and their impact on Papuan women. A case study was conducted in Waena Village, one of the Kampung KB in Jayapura City, Papua. Methods: The research method used is descriptive qualitative using an ethnographic approach. The determination of the informants was done purposively by assigning one of the key informants. Data collection includes in-depth interviews and observation. Data analysis includes data reduction, data description, and interpretation. Results: The results showed that women of childbearing age carried out the practice of KB by using various forms of birth control. Some use birth control pills and spiral birth control (intrauterine contraception). In addition, the family planning program has provided education to increase knowledge about reproductive health, types of diseases so that women feel more valued and cared for by men with the existence of KB program. Moreover, the existence of the Kampung KB program also has an impact on community social activities, such as educate adolescents and children to have a clean and healthy lifestyle oriented toward family welfare. Conclusion: The Kampung KB program in Waena Village has educated the public about reproductive health, which significantly affects community order. (AU)

Preconception care in adolescents

Preconception Care is an intervention starting from adolescence until near conception. Preconception Care refers to biomedical interventions and social preventive behaviors which can improve healthy babies and healthy mothers. Interventions carried out during adolescence are more effective in reducing the occurrence of pregnancies untimely, unplanned pregnancies. Preconception Care program has not run optimally so far. The purpose of this literature study is to present the research findings on how Preconception Care interventions in adolescents. The method used is the study of the research findings on Preconception Care published in the last ten years (2009-2019) in national and international reputable literature sources indexed by Scopus, Elsiver, Proquest, Plos One, and Google Scholar database. The keywords of Preconception Care, Adolescent, AKI, and AKB are used to facilitate the search for literature. The results of the study show that Preconception Care has a powerful impact on women's health and is part of Continuum Care, including Preconception Care, Antenatal Care, Intranatal, and Post Natal. Preconception Care in adolescents has a good impact on the preconception period and can reduce maternal mortality (AKI) and infant mortality (AKB), thus, it is necessary to optimize Preconception Care on adolescents

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El consejo anticonceptivo utilizando el modelo DISC de patrones conductuales. Resultados de una experiencia piloto / Use of the DISC system during contraceptive counselling: results of a pilot study

Objetivo: analizar la aplicabilidad del modelo Dominancia, Influencia, Serenidad y Cumplimiento de comportamiento en el consejo anticonceptivo. Métodos: estudio piloto llevado a cabo con 294 profesionales sanitarios en el que, mediante ejercicios de rol play, se evaluó la capacidad de identificación del modelo Dominancia, Influencia, Serenidad y Cumplimiento de pacientes figuradas. Resultados: el 100% de los participantes pudo identificar, al menos un perfil comportamental, un 84% fue capaz de identificar dos, el 52,4% identificó tres y el 41% identificó los cuatro modelos de comportamiento presentados durante el ejercicio. El modelo Dominancia fue identificado por el 78% de los participantes en el estudio; el modelo Influencia por el 97%; el modelo Serenidad por el 81% y el modelo Cumplimiento por el 83%. Conclusiones: ser capaces de identificar los modelos de comportamiento Dominancia, Influencia, Serenidad y Cumplimiento y realizar un consejo anticonceptivo más acorde con las necesidades específicas de las personas, puede ayudar a mejorar la elección y tasa de continuidad del método (AU)

Objective: To assess the validity of the Dominance, Influence, Stability, Compliance system during contraceptive counselling. Methods: In this role-play-based pilot study, 294 healthcare providers tried to identify the Dominance, Influence, Stability, Compliance model in four imaginary patients. Results: All the participants were able to identify at least one of the Dominance, Influence, Stability, Compliance models, 84% identified two, 52.4% identified three and 41% identified all four different models. Model Dominance was recognized by 78% of participants, model Influence by 97%, model Stability by 81% and model Compliance by 83%. Conclusions: The ability to identify Dominance, Influence, Stability, Compliance behavioural models and provide contraceptive counselling according to the specific needs of individuals could help to improve the choice of contraceptive method and its continuity rate (AU)

Anticoncepción en la mujer inmigrante: influencia de los aspectos socioculturales en la elección del método anticonceptivo / Contraception in immigrant women: influence of sociocultural aspects on the choice of contraceptive method

Actualmente residen en nuestro país 6 millones de inmigrantes. La mitad son mujeres, la mayoría en edad fértil. Son un grupo de especial problemática, con altas tasas de interrupción voluntaria de embarazo (IVE) en el que es fundamental abordar su salud reproductiva. Hemos dilucidado cómo es el uso de métodos anticonceptivos por esta población. Para ello revisamos 1.100 historias de nuestra consulta de salud sexual y reproducción. El colectivo más prevalente que acude a nosotros en busca de información son las latinoamericanas, seguidas por europeas del Este y marroquíes, y en menor proporción asiáticas y subsaharianas. Los anticonceptivos más utilizados son el DIU, sobre todo latinoamericanas y europeas del Este, y los anticonceptivos orales combinados, más utilizados entre las marroquíes. Es importante informar a las mujeres inmigrantes sobre anticoncepción, teniendo en cuenta sus preferencias, para aumentar la adherencia al tratamiento y disminuir las altas tasas de IVE (AU)

There are currently 6 million immigrants living in Spain. Half of them are women, the majority of whom are of childbearing age. These women, who suffer high rates of induced abortion, form a special group who require a special approach to their reproductive health. In order to study the use of contraceptive methods in this population, a review was made of 1100 clinical histories from our Sexual Health and Reproduction Clinic. Latin American women were the most prevalent group who came to seek information about contraception, followed by Eastern Europeans and Moroccans. Fewer Asian and Sub-Saharan women sought these services. The contraceptives most frequently used were the intrauterine device (used mostly by Latin American and Eastern European women), and combined oral contraception, most used by Moroccan women. It is important to advise the immigrant women about contraceptive methods, taking into account their preferences, in order to improve adherence to the method (AU)

Prevención del aborto / Prevention of abortion

Objetivos: Analizar diferentes aspectos socialesrelacionados con la interrupción voluntaria delembarazo (IVE), orientado a la obtención deinformación en el contexto de la pareja, la familiay la sociedad.Sujetos y métodos: Se recogieron datos, medianteentrevista personal, de 1.600 pacientes que sesometieron a una IVE.Resultados: Las pacientes que acudían porprimera vez a un ginecólogo fueron el 26,9%. El84,3% de las pacientes no había comentado nadacon sus padres y el 12,9% no lo comentaron a supareja. El 76% se mostró partidario de la existenciade poder recurrir a la IVE y de que ésta estéregulada por ley, un 18,3% se manifestóen contra.Conclusiones: La reducción del número y la tasade abortos requiere una concepción más abiertaal sexo y a la sexualidad, fomentando el diálogoen el seno de la familia, en los centros escolaresy la elaboración de completos programas deeducación (AU)

Objectives: To assess various social factorsrelated to therapeutic abortion (voluntarypregnancy interruption [VPI], since the termtherapeutic was traditionally used for abortionsdue to medical indication) with the aim ofobtaining information in the context of thecouple, the family and society.Subjects and methods: Data were gatheredthrough a personal interview performed in 1,600patients who underwent VPI.Results: A total of 26.9% of the patients werevisiting a gynecologist for the first time. Most ofthe patients (84.3%) had said nothing to theirparents and 12.9% had said nothing to theirpartners either. Three-quarters (76%) agreed withthe possibility of having a VPI and with its legality;18.3% were against.Conclusions: Reducing the number and rate ofabortions requires a more open understandingof both sex and sexuality, promoting a dialoguewithin the family and at school, as well as thedesign of complete education programs (AU)

Reducción de daños en embarazos no deseados y de adicciones no deseadas: una instructiva analogía / Harm-reduction for unwanted pregnancies and unwanted addictions: an instructive analogy

El tratamiento de las adicciones busca reducir el daño que la adicción causa a los individuos y a la sociedad. Sin embargo, muchos servicios, sobre todo en el sector privado, tienen objeciones ideológicas a la hora de utilizar tratamientos médico-farmacológicos y se muestran críticos con otros servicios que sí ofrecen tratamientos farmacológicos. Esta situación contrasta profundamente con la actitud de las clínicas de planificación familiar (PF), que también buscan reducir daños. Irónicamente, las clínicas más antifarmacológicas suelen ser las que proclaman a toda voz que la adicción es una «enfermedad», mientras que el evitar un embarazo no deseado, que no se considera enfermedad, se aborda y soluciona de forma muy efectiva con técnicas médicas. Las clínicas de PF tienen en cuenta los diferentes modelos de conducta sexual, los contextos sociales y las actitudes de las pacientes cuando diseñan planes de tratamiento individuales, mientras que las clínicas que tratan adicciones parten de un enfoque de talla única o de «lo tomas o lo dejas». Los servicios de adicción pueden aprender lecciones clínicas e ideológicas muy útiles de las clínicas de PF

Addiction treatment aims to reduce the harm that addiction causes to individuals and society. However, many clinics, especially in the private sector, have ideological objections to using medico-pharmacological treatments and are often critical of other services that do offer pharmacological treatments. This situation contrasts sharply with the attitude of family planning (FP) clinics, even though they too aim to reduce harm. Ironically, the most anti-pharmacological clinics are often those which proclaim most loudly that addiction is a 'disease', while avoiding unwanted pregnancy, which is not usually seen as a disease, is widely and effectively achieved with medical techniques. FP clinics typically consider widely varying patterns of sexual behaviour, social contexts and patient attitudes in devising individual treatment plans, while addiction clinics commonly have a one-size-fits-all, take-it-orleave- it approach. Addiction services could learn some useful clinical and ideological lessons from FP

Intercepción postcoital y uso de anticonceptivos en la población joven / Postcoital interception and the use of contraceptives in the young population

Objetivo: conocer la relación entre el Conocimientode la Intercepción Postcoital (IPC) y eluso de anticonceptivos habituales entre las jóvenesatendidas por demanda de IPC en el Centro de PlanificaciónFamiliar de Lleida.Material y métodos: se realizó un estudio observacionaltransversal mediante una encuesta estructuradallevada a cabo mediante entrevista personala todas las mujeres menores de veinte añosatendidas entre 1999 y 2001 en el centro, siendoen total 1.164.Resultados: un 19,3% de las jóvenes realizabancoitos sin protección y un 64,4% expresó utilizarun método anticonceptivo seguro, pero habían tenidoun accidente con el preservativo.El 65,3% tenían conocimiento previo de la IPC perono la habían usado, seguido del 27,1% que yala habían empleado con anterioridad. El conocimientoprevio de la IPC no mostró relación con eluso de anticonceptivos habituales.Conclusiones: el estudio sugiere reflexiones tantoacerca de la finalidad de la IPC como de la necesidadde más educación sexual en los jóvenes

Objective: To determine the relationship betweenpostcoital interception (PCI) and the use ofcommon contraceptives among young females thatdemand PCI at Family Planning Centre in Lleida.Material and methods: A cross-sectional observationalstudy was performed by using astructure survey by interviewing all females underthe age of 20, treated between 1999 and 2002in the centre, amounting to a total of 1.164 youngwomen.Results: 19,3% of the girls had sex withoutprotection and 64,4% wanted to use a safecontraceptive method, but had had an accidentwith the condom.65,3% knew previously about PCI but had neverused it, followed by 27,1% that had already usedthe method before. The previous knowledge of thePCI did not show any relationship with the use ofcommon contraceptives.Conclusions: This study suggests that somereflection is needed regarding the finality of PCI aswell as the need for a stronger sexual educationamong the young

Diferencias en la utilización de métodos de planificación familiar por mujeres adolescentes en Monterrey, México, según el modelo de educación utilizado / Differences in the Use of Family Planning Methods by Adolescent Females According to the Education

Fundamento: El objetivo fue comparar la utilización de métodosde planificación familiar durante el puerperio inmediato y dosaños después del parto en las mujeres adolescentes que habían seguidodos programas diferentes de intervención durante su embarazo.Métodos: Se diseñó un estudio cuasiexperimental. Se seleccionóa 62 adolescentes embarazadas que se integraron en dos grupos deintervención, el modelo PRECEDE y el de Creencias en Salud(MCS). Se aplicaron pruebas estadísticas no paramétricas y se estimaronintervalos de confianza de 95%.Resultados: El promedio de conocimiento inicial en el grupoMCS fue de 69,12 puntos (IC95% 63,27-74,97) y al final 89,71 puntos(IC95% 86,24- 93,17), mientras que el inicial del grupo PRECEDEfue de 49,39 puntos (IC 95% 42,24- 56,54) y al final de 75,25puntos (IC 95% 71,12- 79,38). En el puerperio inmediato el 93% (IC95% 83,5-100) de las adolescentes del grupo PRECEDE aceptaron eluso de un método de planificación familiar, similar al empleado porel grupo MCS, de 94,2 (IC 95% 86,3-100). En cuanto a la continuidaden el uso del método, es decir dos años después, el efecto de laestrategia PRECEDE fue superior al del MCS, 92% (IC 95% 82-100) y 72% (IC 95% 56,9-87,1) respectivamente.Conclusiones: Se encontró diferencia entre modelos en lo concernientea la utilización de métodos de planificación familiar a los 2años. Se propone el programa PRECEDE como estrategia educativapara prevenir un segundo embarazo en mujeres adolescentes

Background: The objective was to compare the use of familyplanning methods during the immediate postpartum period and twoyears following childbirth among the adolescent females who hadfollowed two different intervention programs during their pregnancies.Methods: A quasi-experimental study was designed. A total of62 pregnant adolescents were selected to comprised two interventiongroups, the PRECEDE model and the Health Belief model (MCS)groups. Non-parametric statistical tests were employed and 95%confidence intervals estimated.Results: The average starting knowledge in the MCS groups was69.12 points (95% CI 63.27-74.97) and ending 89.71 points (95% CI86.24- 93.17), while the starting knowledge for the PRECEDE groupwas 49.39 points (95% CI 42.24- 56.54) and ending 75.25 points(95% CI 71.12- 79.38). IN the immediate postpartum, 93% (95% CI83.5-100) of the adolescents in the PRECED group accepted the useof a family planning method similar to that employed by the MCSgroup, of 94.2 (95% CI 86.3-100). As regards the continued use ofthe method, that is, two years later, the PRECEDE strategy had a greatereffect that the MCS strategy, respectively 92% (95% CI 82-100)and 72% (95% CI 56.9-87.1).Conclusions: A difference was found to exist between models asregards the use of family planning methods 2 years following childbirth.The PRECEDE program is proposed as the education strategyfor preventing a second pregnancy among adolescent females

Solicitudes de vasectomía en un centro de planificación familiar / Vasectomy applications in a family planning center

Se analizan las características de los solicitantes de vasectomía en el Centro de Planificación Familiar Alicante 3 durante un período de 6 años así como los motivos que inducen a los demandantes de vasectomía a optar por este método anticonceptivo. Destaca que un 11 por ciento solicita vasectomía sin tener su deseo genésico cumplido, que los métodos anticonceptivos utilizados con anterioridad a la vasectomía son de uso masculino y una tendencia creciente de solicitantes con un solo hijo y deseo genésico cumplido (AU)

Análisis multivariante de los factores que pueden influir en la modificación del deseo sexual en mujeres portadoras de dispositivo intrauterino (DIU) / A multivariant analysis of the factors wich may influence a modification of sexual desire in IUD users

Objetivo: Estudiar la influencia del uso del dispositivo intrauterino (DIU) sobre la modificación del deseo sexual en mujeres atendidas en un centro de planificación familiar. Material y métodos: Estudio observacional prospectivo de 313 mujeres portadoras de DIU controladas en el Centro de Orientación Familiar Marina Alta de Denia (Alicante). Se realizó un análisis de regresión logística para estimar el riesgo relativo de disminución de la libido correspondiente al uso de DIU teniendo en cuenta la edad, el nivel de estudios, la información sobre planificación familiar, la relación con la pareja, la edad de inicio de las relaciones sexuales, la paridad, el método anticonceptivo anterior utilizado, el modelo y tiempo de uso de DIU. Resultados: La edad, el nivel de estudios, el ni vel de información sobre planificación familiar, la edad de inicio de las relaciones sexuales, la paridad, el método anticonceptivo anterior utilizado, el modelo de DIU y el tiempo de uso de DIU no demuestran una asociación estadísticamente significativa con la modificación del deseo sexual en mujeres portadoras de DIU. La disminución del deseo sexual se asociaba a la regular relación (OR = 7,29; IC del 95 por ciento: 3,12-17,02) o mala relación (OR = 13,44; IC del 95 por ciento: 3,11-58,11) con la pareja. Del mismo modo, existía una relación estadísticamente significativa entre una buena información sobre planificación familiar y la modificación del deseo sexual (OR = 0,43; IC del 95 por ciento: 0,19-0,97). Conclusiones: El deseo sexual en mujeres portadoras de DIU disminuye cuando la mujer tiene una regular y mala relación con la pareja, y aumenta cuando la mujer tiene una elemental y buena información sobre planificación familiar (AU)