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Introduction: Whether or not a woman starts using a new contraceptive method depends on many variables, which may not only be related to the woman, but also to her doctor. Investigating these determinants of use may help prcscribers in their daily practice.

Aim and Method:: To investigate the rate of acceptance of the contraceptive ring (NuvaKing) tiffany necklaces sale ofrered as their new contraceptive method to Basque women and to investigate the determinants of use or non-use. We offered the contraceptive ring to a total of 1241 Basque women who came to their usual centre - family planning centre, hospital or private practice - for contraceptive counselling or their annual check-up. The ring was presented conform normal practice. Demographic details were collected of both the investigator and the woman. Women were asked their actual form of contraception, and whether or not they wished to use the ring. Reasons for non-acceptance were registered. Descriptive analysis are presented.

Resulls: Data of 1241 women (mean age 26,9 years) were analysed. Most women used the condom a their actual form of contraception (49,7%), while 41,2% used the PiU. Tampon use, including both occasional and normal use was 88,4%, which is higher than that reported previously. The acceptance rate of the ring was substantially higher than anticipated; 56,9 % of the women accepted the ring as their new method. The reasons for non-acceptance were mainly related to the unfamiliarity of the anatomy of the vagina. The gender or the speciality of the prescriber (gynaecologist, midwife, educator or family tiffany money clips sale doctor) did not seem to influence the acceptance rate of the ring. Of the 4 determinants investigated, 3 seem to be interrelated, while 1 was not. Women using a Pill are more likely to accept using the ring (61,5%) than women using condoms (54,6%). Teenagers were less likely to accept the ring than women of 20 years and older, although this may be related to the current contraceptive method; over 70% of the teenagers uses condoms, and only 16,3 % the Pill. Women with a university degree are more likely to opt for the ring than women with a lower education, but they are also more likely to use the Pill. The use of tampons was related to the acceptance of the ring: 61% of the women using tampons chose to use the ring, while of the women not using tampons 25,5 % accepted the ling. Whether or not tampon use is a discriminator for ring use, or that it is related to the type of women who first start using a new method (innovators) cannot be tiffany pendants sale form these data.

Conclusion: Among Basque women the acceptance of monthly contraceptive ring is high, over 50%. Determinants of acceptance are tampon use and the current type of contraceptive, and interrelated with the latter age of the women and the degree of education. Non-acceptance is mainly related to the unfamiliarity of the anatomy of the vagina.Christina Kamvissis, 29, and her husband, Athanasios (Tom) Christeas, have a life reminiscent of the hit movie, My Big Fat Greek Wedding. Big close families, big zest for life, lots of good food. There's just one major difference: Almost four years ago, Christina was diagnosed with non-Hodgkin's lymphoma. "I had a tiffany accessories sale degree, a boyfriend, a lifetime worth of expectations and a huge mass that had been growing inside me completely unnoticed," recalls Christina.

The mass was 10 centimetres - the size of a grapefruit - and about four months old. Christina's doctor at Montreal's Royal Victoria Hospital said it was a very aggressive tumour and that the sooner treatment started, the better. At that point, Tom, who had been dating Christina for about three years, asked her to marry him. "I made a decision after the diagnosis," he says. "I was committed to her, no matter what."Christina was shocked when she saw the ring and she accepted without knowing if she would make it to her own wedding. More than anything, Tom's love gave Christina a big incentive to fight the cancer. "We've helped each other," says Tom. "When I was having a bad day," says Christina, "he was the strong one."Next followed the rollercoaster ride of cancer treatment: surgery, chemotherapy and radiation therapy. Christina lost her hair and gained about 20 pounds; when she looked in the mirror, she scarcely recognized herself. At the Look Good Feel Better workshop she attended, talking to tiffany rings sale women with cancer helped Christina realize that she wasn't alone "and gave me hope for the future," she says. "Look Good Feel Better restores self-esteem, raises morale and for two wonderful hours, you forget why you're there."