The Relationship Between Duration of 3-Month Injectable Contraceptive Use and Menstrual Cycle among Family Planning Acceptors
Keywords:
DMPA, Family Planning, Hormonal Contraception, Menstrual Cycle, Menstrual DisordersAbstract
Three-month injectable contraception containing depot medroxyprogesterone acetate (DMPA) is one of the most commonly used hormonal contraceptive methods because of its high effectiveness, convenience, and long-acting protection against pregnancy. However, prolonged use of DMPA is frequently associated with menstrual cycle disorders, which may affect women's satisfaction and continuation of contraceptive use. This study aimed to analyze the relationship between the duration of three-month injectable contraceptive use and menstrual cycle disorders among family planning acceptors at PMB Hj. Hariati. A quantitative study with a correlational analytic design was conducted involving 50 family planning acceptors selected through total sampling. The independent variable was the duration of three-month injectable contraceptive use, while the dependent variable was the occurrence of menstrual cycle disorders. Data were analyzed using univariate analysis to describe respondent characteristics and the Spearman's rho test to examine the relationship between the study variables. The findings showed that most respondents had used the injectable contraceptive for more than one year and experienced menstrual cycle disorders. Statistical analysis demonstrated a significant and very strong relationship between the duration of contraceptive use and menstrual cycle disorders (p < 0.01). These findings indicate that prolonged use of three-month injectable contraception is associated with an increased occurrence of menstrual cycle changes among family planning acceptors. The study highlights the importance of comprehensive contraceptive counseling and continuous follow-up to improve women's understanding of expected hormonal effects and to support informed decision-making regarding contraceptive use.
References
Adinda, R., & Anik, P. (2025). Hubungan Lama Pemakaian KB Suntik dengan Gangguan Siklus Menstruasi pada Akseptor KB Suntik di PMB Neneng Mahfuzah Banjarmasin. Termometer: Jurnal Ilmiah Ilmu Kesehatan Dan Kedokteran, 3(1), 225–234. https://doi.org/10.55606/termometer.v3i1.4790
Ardela, M. P., Fitriasnani, M. E., & Kulistiyani, P. E. (2025). Bengkuang as an alternative for hypoestrogen problems in the reproductive system. Journal of Nursing Practice, 8(2), 282–291. https://doi.org/10.30994/jnp.v8i2.742
Astuti, D. (2023). Hubungan Pemakaian Kb Suntik 3 Bulan Dengan Perubahan Siklus Menstruasi Di Bpm Anik Desa Sidodadi. Jurnal Ilmu Kesehatan. https://doi.org/https://doi.org/10.62085/ajk.v1i1.20
Kristiyani, W., & Simarmata, M. (2024). Relationship Between Use Of 3 Monthly Contraceptive Injection And Menstrual Disorders At Gloria Clinic. Int. J. Midwifery Res, 4(2). https://doi.org/https://doi.org/10.47710/ijmr.v4i2.81
Mardhika, A., Safitri, Y. D., Fadliyah, L., & Medawati, R. (2021). Description of menstrual cycle disorders in 3 months injectable contraceptive users. Journal of Vocational Nursing, 2(2), 97–100. https://doi.org/10.20473/jovin.v2i2.29681
Mehta, S., Kale, E., & Rashid, F. (2021). Revisiting depot medroxyprogesterone. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 10(3), 946–949. https://dx.doi.org/10.18203/2320-1770.ijrcog20210713
Monica, L. P., Ulfa, C. A. M., & Fata, U. H. (2024). Menstrual disorders of 3-month contraceptive injection acceptors in Independent Midwife Practice in Binangun District, Blitar Regency. Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery), 11(3), 312–321. https://doi.org/10.26699/jnk.v11i3.ART.p312-321
Murniasih, S., & Aprilina, H. D. (2019). Deskripsi siklus menstruasi pada wanita usia subur dengan akseptor KB suntik. Journal of Holistic Nursing Science, 6(1), 28–35. https://doi.org/10.31603/nursing.v6i1.2335
Nency, O., Utami, D. P., Devi, D. P., Farhan, L., Sari, M., Fitri, M., Neti, Juliani, R., & Sapitri, L. A. (2024). Effect of Use Hormonal Progestin Birth Control on Length of Use, Incidence of Menstrual Cycle Disorders in Birth Control Acceptors in Muara Enim District in 2024. Jurnal Penelitian Pendidikan IPA, 10(11), 9267–9274. https://doi.org/10.29303/jppipa.v10i11.8932
Patel, R. R., Sheth, N. P., & Mehta, A. S. (2024). Depot medroxyprogesterone acetate injection as contraceptive method. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 13(8), 2030–2035. https://dx.doi.org/10.18203/2320-1770.ijrcog20242065
Rosidah, L. K., & Kristina, Y. (2026). The relationship between three-month injectable contraceptive use (DMPA) and the occurrence of amenorrhea among family planning acceptors. Indonesian Journal of Nutritional Epidemiology and Reproductive, 9(2), 57–63. https://doi.org/10.30994/ijner.v9i2.379
Sharma, M., Sharma, M., & Agarwal, M. (2021). Study of efficacy and safety of injection depot medroxy progesterone acetate in lactating and non-lactating women. Asian Pacific Journal of Health Sciences, 8(3), 29–33. https://doi.org/10.21276/apjhs.2021.8.3.07
Syahlaa, P. L., & Prabowo, E. (2023). Hubungan Kekuatan Core Stability Dengan Fleksibilitas Lower Limb Pada Lansia Di Panti Werdha Budi Mulia 3 Jakarta. Jurnal Ilmiah Fisioterapi (JIF), 06(1). https://doi.org/https://doi.org/10.36341/jif.v6i01.2860
Wenang, D. C., & Noviana, A. C. (2017). Perubahan siklus menstruasi pada akseptor KB suntik depo medroksiprogesteron asetat (DMPA) dan implan di wilayah kerja Puskesmas Karanan Kabupaten Trenggalek. Jurnal Ilmiah Kedokteran Wijaya Kusuma, 6(1), 8–13. https://doi.org/10.30742/jikw.v6i1.322
Wright, D. B. (2024). Normrank Correlations for Testing Associations and for Use in Latent Variable Models. Open Education Studies, 6(1). https://doi.org/10.1515/edu-2024-0003
Downloads
Published
Issue
Section
License
Copyright (c) 2026 International Journal of Health Administration Law and Government Policies
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
