Best Practices to Drive Time and Cost Savings for Contraceptives | Page 3

Given the number of options available, why is there limited success? » Because of the side effects, adverse events, or lack of spontaneity that can be associated with available contraceptive methods, approximately 40% of women are not satisfied with their current contraceptive method.6 Continued use of any product after 1 year ranges from as low as 36% to 84%, with the highest rates observed with long-acting Because of the side effects, adverse events, or lack of spontaneity that can be associated with available contraceptive methods, approximately 40% of women are not satisfied with their current contraceptive method. 6 implantable options.3 With so many choices, personal preference and tolerance for side effects strongly determine initiation and continuation of a product, and a bad experience with a specific method may influence future use of that same product type, even in a different formulation.7 Figure 3. “Perfect” vs. “Typical” Use Efficacy In 2012, a survey conducted by the US Centers for Disease Control reported that 28% of women preferred the “pill”; however, partly owing to the need for daily compliance to this method, there can be a failure 30 rate of 9–30% with “typical”, rather than “perfect”, use.2 There has been more acceptance recently of the longer-acting options that eliminate the 25 9-30% 20 FAILURE RATE OF THE PILL WITH TYPICAL USE (ACTUAL USE REFLECTED, INCLUDING HUMAN ERROR)2 15 5 in use from 1995 to 2006–2010,2 and when provided a choice, 68% of women chose an IUD, compared to 23% for combined hormonal options.4 Limited widespread use of the long-acting methods may not be due to acceptance or preference, but instead to the fewer options approved by the FDA, while there are a number of available oral 10 .05-6% requirement for daily administration, such as IUDs, with a 5% increase hormonal contraceptives. FAILURE RATE FOR MOST OPTIONS WITH PERFECT USE (CONTRACEPTIVES USED AS INTENDED)5 Each newly developed and approved contraceptive method is likely to allow every woman to find a method that meets her needs. clinipace.com 2