Contraception during medical studies: A French study of 2,323 residents

J Gynecol Obstet Hum Reprod. 2023 Sep;52(7):102615. doi: 10.1016/j.jogoh.2023.102615. Epub 2023 Jun 1.

Abstract

Objective: The main objective of this work was to establish the contraceptive profile of French female medical residents and to assess the impact of workload on their choice of contraception method as well as difficulties encountered.

Study design: We conducted a descriptive, cross-sectional, prospective national study over six months, between May and October 2019, using an anonymous online survey sent to all female medical residents in France. We formed two study groups according to reported working hours: W+ and W-. Grouping was based on three criteria: weekly workload, weekly night duty, and weekend duty per month.

Results: Of the 17,120 active female residents, the response rate was 15.42%. Oral contraception was the most commonly used method. The contraceptive profile of female residents was similar to that of the general French population. The W+ group of residents experienced more frequent contraceptive difficulties that had no impact on their choice of contraception. Despite the difficulties of using contraception, the W+ group used effective corrective methods, allowing them to prevent unplanned pregnancies. Residents in the W+ group reported more irregular gynecological follow-up.

Conclusion: Better gynecological monitoring during medical studies would optimize contraceptive choices made by female medical residents in France.

Keywords: Contraception; Gynecological follow-up; LARC; Pregnancy; Residency; Workload.

MeSH terms

  • Contraception* / methods
  • Contraceptive Agents, Female*
  • Contraceptive Devices
  • Cross-Sectional Studies
  • Female
  • Humans
  • Pregnancy
  • Prospective Studies

Substances

  • Contraceptive Agents, Female