The Relationship Between Long-Term Usage Of Hormonal Contraception And Sexual Dysfunction And Quality Of Women's Sexual Life

Abstract

Long-term use of hormonal contraception is suspected to have side effects, decreasing women's libido,
thus affecting their sexual function and quality. Experts call this sexual dysfunction. This study aims to
determine the relationship between long-term use of hormonal contraception and sexual dysfunction and
the quality of women's sexual lives at TPMB Mudjiasri. The study was conducted from August to
November 2024. The research method used an analytical observational approach with a cross-sectional
approach. A sample of 30 people was drawn using total sampling that met the inclusion and exclusion
criteria. Statistical tests used univariate and bivariate Spearman Rank analysis. The results showed that
12 respondents (40%) had used hormonal contraception for 3-6 years, 10 people (33.3%) had used it for
more than 6 years up to 9 years, and 8 people (26.7%) had used hormonal contraception for more than
9 years. Furthermore, of the 30 respondents, 93.3% (28 people) experienced sexual dysfunction and 6.7%
(2 people) did not experience sexual dysfunction. In addition, 83.3% (25 people) had an unsatisfactory
quality of sexual life and 16.7% (5 people) had a satisfactory quality of sexual life. The correlation test
using Spearman Rank obtained a p-value of 0.112 in the relationship between the duration of hormonal
contraceptive use and sexual dysfunction, which means there is no relationship between the two
variables. In addition, no significant relationship was found between the duration of hormonal
contraceptive use and the quality of women's sexual life with a p-value of 0.416. The duration of hormonal
contraceptive use does not directly affect the state of sexual dysfunction and the quality of a woman's
sexual life. In addition, the causes of sexual dysfunction experienced by acceptors can be influenced by
several factors, including age, occupation, knowledge, social environment, and communication, which
still require further in-depth research. The conclusion of this study is that there is no relationship between
the duration of hormonal contraceptive use and sexual dysfunction and the quality of women's sexual life.