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J Series
Series J, Number 54
Family Planning Programs

When Contraceptives Change Monthly Bleeding

How family planning providers and programs can help clients choose and use suitable methods

CONTENTS

Home (Key Points)

Bleeding Changes Affect Contraceptive Choice and Use

Counseling and Treatment Can Help

Box: Contraception and Bleeding Changes: What Are the Facts?

Box: Would More Women Use a Family Planning Method That Stops Monthly Bleeding?

What Shapes Women's Attitudes About Bleeding Changes?

Box: Better Understanding Menstruation Helps Girls and Women
 Web Table 1. Knowledge of Fertile Time is Poor Among Women and Men of Reproductive Age

Spotlight: Nepal's A GIFT for RH Project Teaches Girls, Changes Attitudes

Bibliography

Coming Soon: Family Planning: A Global Handbook for Providers

Credits

From INFO's Toolbox
Provider Guide: Managing Bleeding Changes Caused by Contraceptive Methods
Counseling Aid: Typical Bleeding Patterns With Selected Contraceptive Methods

Quick Look
Table: Discontinuation of Contraceptive Methods Due to Bleeding Changes Varies in Clinical Trials
Box: Hormonal Contraception Relieves Some Reproductive Conditions

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See More Population ReportsSee companion INFO Reports, "Key Facts About the Menstrual Cycle"
See More Population ReportsSee more Population Reports

Web Table 1. Knowledge of Fertile Time Is Poor Among Women and Men of Reproductive Age

 

% of Women Ages 15 to 49 Who Think the Fertile Time Is:

Region, Country & Year

During Monthly Bleeding

After Monthly Bleeding Ends

Midway Between Monthly Bleedings*

Before Monthly Bleeding Begins

At Any Time

Don't Know

SUB-SAHARAN AFRICA

Benin 2001

<1

22

27

1

16

34

Burkina Faso 2003

2

29

19

3

10

38

Cameroon 2004

1

25

33

2

11

27

Central African Rep. 1994

<1

12

18

2

28

40

Chad 1997

2

22

13

3

23

36

Comoros 1996

<1

16

21

3

17

40

Côte d'Ivoire 1998

<1

18

36

1

12

33

Eritrea 2002

2

45

11

4

19

18

Ethiopia 2000

1

30

13

3

23

30

Gabon 2000

<1

28

36

2

11

22

Ghana 2003

2

35

29

5

9

19

Guinea 1999

<1

21

23

3

27

24

Kenya 2003

3

31

19

11

11

25

Malawi 2000

2

33

19

10

22

14

Mali 2001

1

18

18

4

18

41

Namibia 2000

7

33

12

10

16

21

Niger 1998

<1

23

11

4

19

42

Nigeria 2003

1

33

20

3

11

31

Rwanda 2000

<1

12

9

2

51

24

Senegal 1997

1

20

14

2

22

40

South Africa 1998

5

23

11

20

0

38

Togo 1998

<1

16

24

3

10

45

Uganda 2000

<1

36

18

7

8

29

Zambia 2001

2

31

23

16

6

22

Zimbabwe 1999

1

30

12

9

12

34

NEAR EAST & NORTH AFRICA

Jordan 2002

0

17

68

1

5

9

Mauritania 2000

1

27

10

3

24

34

Turkey 1998

<1

9

18

2

22

44

Yemen 1997

<1

36

8

3

22

31

ASIA

Cambodia 2000

<1

2

6

<1

19

73

Indonesia 2003

<1

14

16

3

30

36

Nepal 2001

2

40

18

2

6

32

Philippines 2003

<1

41

27

6

11

15

Vietnam 2002

<1

9

47

1

18

25

LATIN AMERICA & CARIBBEAN

Bolivia 2003

2

19

38

5

15

21

Brazil 1996

<1

21

28

7

8

34

Colombia 2000

2

23

45

8

8

11

Dominican Rep. 2002

2

52

11

12

10

12

Guatemala 1999

3

14

15

3

41

20

Haiti 2000

<1

36

11

6

9

36

Nicaragua 2001

2

35

15

12

10

24

Peru 2000

3

11

36

3

8

29

EASTERN EUROPE & CENTRAL ASIA

Armenia 2000

<1

18

30

4

11

38

Turkmenistan 2000

<1

8

25

<1

32

34

Kazakhstan 1999

1

6

38

2

34

19

Kyrgyzstan 1997

<1

12

19

1

19

49

Uzbekistan 1996

<1

3

10

<1

55

31



 



% of Men Ages 15 to 49 Who Think the Fertile Period Is:

Region, Country & Year

During Monthly Bleeding

After Monthly Bleeding Ends

Midway Between Monthly Bleedings*

Before Monthly Bleeding Begins

At Any Time

Don't Know

SUB-SAHARAN AFRICA

Burkina Faso 2003

5

26

15

7

8

39

Ghana 2003

4

28

28

7

12

21

Kenya 2003

9

26

18

21

4

23

Nigeria 2003

4

34

16

2

6

38

Rwanda 2000

3

22

5

10

27

34

Uganda 2000

2

50

15

8

5

19

Zambia 2001

4

28

11

32

9

17

LATIN AMERICA & CARIBBEAN

Bolivia 2003

2

22

42

10

5

20

Haiti 2000

2

39

13

12

6

28


Rows may not add to 100 because a small percentage of respondents have missing answers or gave other answers that are not shown.



Source: Demographic and Health Surveys

*A woman is fertile generally about midway between monthly bleedings.


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