Lupus & antiphospholipid syndrome
Reproductive health knowledge and contraceptive use in never pregnant systemic lupus erythematosus patients: A cross-sectional survey
Authors' conclusion
Knowledge of reproductive health, particularly contraceptive use in SLE patients, remains suboptimum.
Study context
- Population
- Systemic lupus erythematosus (SLE) patients aged 18–50 years, menstruating, never pregnant, Chiang Mai University Hospital, November 2021–July 2023mean age 30.91 years
- Participants
- 204 patients
- Outcome
- Knowledge of reproductive health (pregnancy and contraception)
Methodological detailssurvey
- Survey
Main finding
As reported in the abstract
Adequate reproductive health knowledge
Adequate knowledge of pregnancy in SLE
83.82%
Adequate knowledge of contraception in SLE
57.53%
Observational data: associations, not effects.
Further findings
Contraceptive use, past vs current (91 currently sexually active patients)
- Male condoms, past to current (p = .007)
- 76.92% to 62.64%
- Withdrawal, past to current (p = .020)
- 47.25% to 37.36%
- Oral contraceptive pills, past to current (p < .001)
- 19.78% to 2.20%
- Medroxyprogesterone acetate injections, past to current (p = .046)
- 8.79% to 4.40%
- No contraception at all, past to current (p = .025)
- 2.20% to 7.69%
- None of the patients used intrauterine devices
- 0
- Among 101 patients with sexual experience, 91 (43.96%), currently active, provided their contraceptive practice
Living vs not living with partner
- No difference in contraceptive methods, frequency of sexual activity, and SLE disease activity
Original publication
Reproductive health knowledge and contraceptive use in never pregnant systemic lupus erythematosus patients: A cross-sectional survey. Lupus. Published 3 October 2025. doi:10. 1177/ 09612033251386677
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