الفهرس 
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Abstract
Family planning is critical for the health of women and their families, and it can accelerate a country’s progress toward reducing poverty and achieving development goals (Fahimi,et al.2012).In Egypt a key concern for the family planning program is the rate at which users discontinue use of contraception and their reasons for stopping .Overall 26% of users discontinued using a method within 12 months of starting use. The rate of discontinuation during the first year of use was much higher among pill users (40 %) and injectable users (37 %) than among IUD users (12 %). With regard to the reasons for stopping use, users were more likely to discontinue during the first year of use because they experienced side effects or had health concerns (EDHS, 2008). This study aimed to assess the effect of contraceptive use on menstrual cycle pattern among clients attending family planning clinics in Assiut City. Assess the effect of menstrual cycle side effects on contraceptive Discontinuation among these clients.Research design: A prospective observational study Setting: The study was conducted in FP. clinics serves the west sector of Assiut city. This sector includes kolta MCH, hay Gharb MCH, Elarbaeen MCH and Assiut General Hospital. Tools for data collection: The tools used for data collection consisted of structured interviewing questionnaire and follow- up sheet. 1-Astructured interviewing questionnaire includes the following data: This questionnaire was designed by the supervisor (Annex 1) to collect the following data: 1- Socio demographic data :(Name, age, occupation, address, telephone number, education Level, residence, date of admission and duration of marriage ). 2-Menstrual History :( Age at menarche, duration of menstrual blood flow, menstrual rhythm, amount of menstruation and menstrual disorder). 3-Obstetric History :( Number of Gravidity, parity, Living children, Abortion, normal vaginal deliveries and Cesarean section) 4-Medical History :( Diabetes mellitus, hypertension, Heart disease, Epilepsy, liver diseases, varicose veins and history of breast tumors) 5-Family planning: ( The type of contraceptive methods used, duration of use /month and the causes of discontinuation of contraceptive methods (Side effects of menstruation, to get pregnant, desire of her husband, other side effects of the method, travel of her husband and others) 6-Data related to present F.P use: type of contraception used such as ;( Hormonal contraceptive pills, IUD, injectabl, implanon, natural methods and others). Duration of use, side effects, menstrual disorders and discontinuation.