THE RELATIONSHIP BETWEEN THREE-MONTH INJECTABLE CONTRACEPTIVE USE (DMPA) AND THE OCCURRENCE OF AMENORRHEA AMONG FAMILY PLANNING ACCEPTORS

Abstract

Family planning injectable contraception is widely used but may cause menstrual disturbances such as amenorrhea. This study aimed to analyze the relationship between three-month injectable contraception (DMPA) as independent variable and the occurence of amenorrhea among family planning acceptors as dependent variable. This analytic study used a retrospective approach with purposive sampling of 30 acceptors at TPMB Jiamah, Tulungagung. Data were collected using family planning cards and checklists, then analyzed using Fisher’s Exact Test. The results showed that 89.5% of DMPA users experienced amenorrhea, compared to 9.1% among combination injection users. Statistical analysis indicated a significant relationship (p < 0.001) with an odds ratio of 85. This finding suggests that DMPA greatly increases the likelihood of amenorrhea due to hormonal suppression of ovulation and endometrial thinning. Amenorrhea is a common physiological effect; however, proper counseling is needed to improve acceptor understanding and continuation of contraceptive use.