Are there unmet needs in contraceptive counselling and choice?
TANCO = Thinking About Needs in COntraception

More need for contraceptive counselling than caregivers estimate

International research with 6027 women shows that caregivers do not always correctly assess women's need for additional contraception counselling.

Through surveys, women from 11 countries were asked about their knowledge about contraception, satisfaction and the need for more information from caregivers. In general, women were satisfied with the method of contraception they used. Satisfaction with long-term methods of contraception, such as the coil or implantation rod, was higher than with short-acting methods of contraception.

Gynaecologists, general practitioners and midwives were asked to assess the interests and needs of their patients in the field of contraceptive counselling. This showed that this interest was often underestimated. For example, they thought that only 38% of the women would be interested in additional counselling on long-term contraception methods. As many as 73% of the women indicated that they would consider a prolonged method of contraception if they had received more information about it.

The researchers therefore argue that there are opportunities for improved counselling and the debunking of myths surrounding long-term contraception in order to increase women's knowledge and satisfaction with their choice of contraception.


Merki-Feld, G. S., Caetano, C., Porz, T. C., & Bitzer, J. (2018). Are there unmet needs in contraceptive counselling and choice? Findings of the European TANCO Study. European Journal of Contraception and Reproductive Health Care, 23(3), 183-193.