A Qualitative Study on Women's Experiences of Obesity and Weight Changes Following the Use of Injectable Contraceptives

Angelia  Pondaa; Siska Sibua; Cicilia Karlina Lariwu; Grace Aneke Merentek; Ever Mario Lontaan; Finni Fitria Tumiwa; Meilita Enggune; Maryati Agustina Tatangindatu

doi:10.58222/8q0edf51

Authors

Angelia Pondaa Prodi Diploma Tiga Keperawatan, Sekolah Tinggi Ilmu Kesehatan Bethesda Tomohon, Indonesia
Siska Sibua Prodi Profesi Ners, Institut Kesehatan dan Teknologi Graha Medika, Kotamobagu, Indonesia
Cicilia Karlina Lariwu Prodi Diploma Tiga Keperawatan, Sekolah Tinggi Ilmu Kesehatan Bethesda Tomohon, Indonesia
Grace Aneke Merentek Prodi Profesi Keperawatan, Sekolah Tinggi Ilmu Kesehatan Bethesda Tomohon, Indonesia
Ever Mario Lontaan Prodi Diploma Tiga Keperawatan, Sekolah Tinggi Ilmu Kesehatan Bethesda Tomohon, Indonesia
Finni Fitria Tumiwa Prodi Administrasi Kesehatan, Sekolah Tinggi Ilmu Kesehatan Bethesda Tomohon, Indonesia
Meilita Enggune Prodi Diploma Tiga Keperawatan, Sekolah Tinggi Ilmu Kesehatan Bethesda Tomohon, Indonesia
Maryati Agustina Tatangindatu Prodi Keperawatan, Politeknik Negeri Nusa Utara, Kabupaten Kepulauan Sangihe, Sulawesi Utara, Indonesia

DOI:

https://doi.org/10.58222/8q0edf51

Keywords:

Experience, Family Planning, Injectable Contraceptives, Obesity, Phenomenology

Abstract

Background: Three-month injectable contraception is one of the most widely used contraceptive methods in Indonesia due to its practicality and effectiveness. However, long-term use is often associated with weight gain, which may affect women's physical, psychological, and social well-being, as well as the continuation of contraceptive use. Objective: This study aimed to explore the experiences and perceptions of women using three-month injectable contraception regarding weight gain in the working area of Bahu Public Health Center, Malalayang District, Manado City. Methods: This study employed a qualitative design with a phenomenological approach. Data were collected through in-depth interviews with 12 participants selected using purposive sampling. The number of participants was determined based on the principle of data saturation. Data were analyzed to identify themes related to participants’ experiences and perceptions of weight gain during the use of three-month injectable contraception. Results: The findings revealed that most participants experienced weight gain after using three-month injectable contraception. The increase in body weight affected their physical activities, caused feelings of discomfort, reduced self-confidence, and influenced social interactions. Despite these challenges, the majority of participants chose to continue using injectable contraception because they perceived it as practical, effective, and suitable for their family planning needs. Conclusion: Weight gain is a common experience among users of three-month injectable contraception and has physical, psychological, and social impacts. Nevertheless, the perceived benefits of this contraceptive method remain the primary factor supporting its continued use. Suggestion: Healthcare providers are encouraged to strengthen counseling regarding the potential side effects of three-month injectable contraception, provide education on weight management strategies, and conduct regular weight monitoring to enhance users’ comfort, satisfaction, and adherence to contraceptive use.

References

Abiri, B., Hosseinpanah, F., Banihashem, S., Madinehzad, S. A., & Valizadeh, M. (2022). Mental health and quality of life in different obesity phenotypes: a systematic review. Health and Quality of Life Outcomes, 20(1), 63. https://doi.org/10.1186/s12955-022-01974-2

Anastasiadou, D., Tárrega, S., Fornieles-Deu, A., & Sánchez-Carracedo, D. (2025). Family-based weight stigma and psychological well-being of adolescents: a longitudinal analysis of recent vs. cumulative exposure. Frontiers in Psychiatry, 16. https://doi.org/10.3389/fpsyt.2025.1623411

Asogwa, O. A., Boateng, D., Marzà-Florensa, A., Peters, S., Levitt, N., van Olmen, J., & Klipstein-Grobusch, K. (2022). Multimorbidity of non-communicable diseases in low-income and middle-income countries: a systematic review and meta-analysis. BMJ Open, 12(1), e049133.

Bass, L., Prostináková, T., Silang, K. G., Griffiths-Gray, A., McQuilliam, S., Mahon, E., Whitehead, A., & Johnson, K. O. (2025). Does it hold weight? The perceived effects of contraceptive use on weight status in females: A mixed-methods study. PLOS One, 20(12), e0339323. https://doi.org/10.1371/journal.pone.0339323

Belay, A. S., Sarma, H., & Yilak, G. (2024). Spatial distribution and determinants of unmet need for family planning among all reproductive age women in Uganda: a multi level logistic regression modeling approach and spatial analysis. Contraception and Reproductive Medicine, 9(1), 4. https://doi.org/10.1186/s40834-024-00264-0

Cagnacci, A., & Biasioli, A. (2021). The Effect of Hormonal Contraceptives on Metabolism (pp. 299–317). https://doi.org/10.1007/978-3-030-70932-7_18

Caldwell, A. E., Zaman, A., Ostendorf, D. M., Pan, Z., Swanson, B. B., Phelan, S., Wyatt, H. R., Bessesen, D. H., Melanson, E. L., & Catenacci, V. A. (2020). Impact of Combined Hormonal Contraceptive Use on Weight Loss: A Secondary Analysis of a Behavioral Weight‐Loss Trial. Obesity, 28(6), 1040–1049. https://doi.org/10.1002/oby.22787

Chomiuk, T., Niezgoda, N., Mamcarz, A., & Śliż, D. (2024). Physical activity in metabolic syndrome. Frontiers in Physiology, 15. https://doi.org/10.3389/fphys.2024.1365761

Cipriani, S., Todisco, T., Scavello, I., Di Stasi, V., Maseroli, E., & Vignozzi, L. (2020). Obesity and hormonal contraception: an overview and a clinician’s practical guide. Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity, 25(5), 1129–1140. https://doi.org/10.1007/s40519-019-00774-w

Dehesh, T., Salarpour, E., Malekmohammadi, N., & Kermani, S. A. (2020). Associated factors of pregnancy spacing among women of reproductive age Group in South of Iran: cross-sectional study. BMC Pregnancy and Childbirth, 20(1), 554. https://doi.org/10.1186/s12884-020-03250-x

D’Souza, P., Bailey, J. V., Stephenson, J., & Oliver, S. (2022). Factors influencing contraception choice and use globally: a synthesis of systematic reviews. The European Journal of Contraception & Reproductive Health Care, 27(5), 364–372. https://doi.org/10.1080/13625187.2022.2096215

Fuentes, S., Brondeel, R., Franco, M., Sureda, X., Traissac, P., Cleary, L. K., & Chaix, B. (2020). Psycho-social factors related to obesity and their associations with socioeconomic characteristics: the RECORD study. Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity, 25(3), 533–543. https://doi.org/10.1007/s40519-018-00638-9

Gebrye, A. T., Soni, N. D., Hussain, M. S., Lamoria, M., Ayana, A. M., & Lemma, S. M. (2024). Hormones, peptides and neurotransmitters, effects on appetite regulation and their relationship to obesity: systematic review. J Chem Health Risks, 14(1), 317–329.

Genazzani, A. R., Fidecicchi, T., Arduini, D., Giannini, A., & Simoncini, T. (2023). Hormonal and natural contraceptives: a review on efficacy and risks of different methods for an informed choice. Gynecological Endocrinology, 39(1). https://doi.org/10.1080/09513590.2023.2247093

Ghosh, S., Dhar, S., Bhattacharjee, S., & Bhattacharjee, P. (2023). Contribution of environmental, genetic and epigenetic factors to obesity-related metabolic syndrome. The Nucleus, 66(2), 215–237. https://doi.org/10.1007/s13237-023-00420-y

Gorecki, M. C., Feinglass, J. M., & Binns, H. J. (2019). Characteristics Associated with Successful Weight Management in Youth with Obesity. The Journal of Pediatrics, 212, 35–43. https://doi.org/10.1016/j.jpeds.2019.05.039

Hysi, F., & Dervishi, E. (2024). The relation between self-esteem and body dissatisfaction. PHILOSOPHICA International Journal of Social and Human Sciences, 11(22–23), 92–106.

Imai, T., Miyamoto, K., Sezaki, A., Kawase, F., Shirai, Y., Abe, C., Fukaya, A., Kato, T., Sanada, M., & Shimokata, H. (2019). Traditional Japanese Diet Score—Association with Obesity, Incidence of Ischemic Heart Disease, and Healthy Life Expectancy in a Global Comparative Study. The Journal of Nutrition, Health & Aging, 23(8), 717–724.

Jonas, K., Duby, Z., Maruping, K., Harries, J., & Mathews, C. (2022). Rumours, myths, and misperceptions as barriers to contraceptive use among adolescent girls and young women in South Africa. Frontiers in Reproductive Health, 4. https://doi.org/10.3389/frph.2022.960089

Kaba, M., Abunna, F., Tiku Mereta, S., Kitaw, Y., & Abdissa, A. (2025). Containing Emerging and Re-Emerging Infections: A Continuing Global Health Challenge. https://doi.org/10.5772/intechopen.1009675

Keogh, S. C., Otupiri, E., Castillo, P. W., Chiu, D. W., Polis, C. B., Nakua, E. K., & Bell, S. O. (2021). Hormonal contraceptive use in Ghana: The role of method attributes and side effects in method choice and continuation. Contraception, 104(3), 235–245. https://doi.org/10.1016/j.contraception.2021.05.004

Mack, N., Crawford, T. J., Guise, J.-M., Chen, M., Grey, T. W., Feldblum, P. J., Stockton, L. L., & Gallo, M. F. (2019). Strategies to improve adherence and continuation of shorter-term hormonal methods of contraception. The Cochrane Database of Systematic Reviews, 4(4), CD004317. https://doi.org/10.1002/14651858.CD004317.pub5

Mansoor, S., Jain, P., Hassan, N., Farooq, U., Mirza, Mohd. A., Pandith, A. A., & Iqbal, Z. (2022). Role of Genetic and Dietary Implications in the Pathogenesis of Global Obesity. Food Reviews International, 38(sup1), 434–455. https://doi.org/10.1080/87559129.2021.1874409

Puhl, R. M., Himmelstein, M. S., & Pearl, R. L. (2020). Weight stigma as a psychosocial contributor to obesity. American Psychologist, 75(2), 274–289. https://doi.org/10.1037/amp0000538

Robinson, E., Haynes, A., Sutin, A., & Daly, M. (2020). Self‐perception of overweight and obesity: A review of mental and physical health outcomes. Obesity Science & Practice, 6(5), 552–561. https://doi.org/10.1002/osp4.424

Subiyatin, A., Zulfa, S., Hidayati, E., & Jamil, , Siti. (2024). The Relationship Between the Use of Injectable Contraceptives and Changes in Body Weight. International Journal of Midwifery and Health Sciences, 2(2), 201–208. https://doi.org/10.61777/ijmhs.v2i2.80

Sulthonah, N., Marsyidah, S., Kurnia, R., Putri, W., A’yun, Q., Angelina, N. R., Apriliany, B., Fahrezi, R., & Hidayatullah, O. (2023). Obesity, Dietary Habits, and Body Image Perception in College Students at Sultan Ageng Tirtayasa University. Journal of Health and Nutrition Research, 2(3), 158–163. https://doi.org/10.56303/jhnresearch.v2i3.147

Teal, S., & Edelman, A. (2021). Contraception Selection, Effectiveness, and Adverse Effects. JAMA, 326(24), 2507. https://doi.org/10.1001/jama.2021.21392

Verde, L., Frias-Toral, E., & Cardenas, D. (2023). Editorial: Environmental factors implicated in obesity. Frontiers in Nutrition, 10. https://doi.org/10.3389/fnut.2023.1171507

Vijayan, A., Meenakshi, S., Prakash, V., Murti, K., & Kumar, N. (2025). Genetic, Environmental, and Dietary Factors Contributing to Obesity. In Handbook of Public Health Nutrition (pp. 1–21). Springer Nature Switzerland. https://doi.org/10.1007/978-3-031-32047-7_86-1

Zadoń, H., Michnik, R., & Nowakowska-Lipiec, K. (2023). Exploring the impact of body mass change on fatigue and activity of the muscular system during daily routine. Technology and Health Care, 31(6), 2487–2498. https://doi.org/10.3233/THC-235014