الفهرس 
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Abstract
Contraceptives are used by the majority of married women in almost all regions of the world. In 2015, 64 per cent of married women of reproductive age worldwide were using some form of contraception. (Biddlecom; et al, 2015).
Many women discontinue their contraceptives due to method dissatisfaction. Bothersome unscheduled bleeding is one of the main reasons cited by women for stopping a birth control method. Improving counseling and management of these side effects will aide in increasing satisfaction with contraceptive methods ( Villavicencio and Allen, 2016).
Disturbances of menstrual bleeding are common and are one of the major reasons for a woman to consult a general practitioner or specialist) Fraser, 2006).
This study was done in Family planning clinic at Women’s Health Hospital, Faculty of Medicine, Assiut University and Childhood and Maternity Care center in the city of Dirout, Assiut, Egypt. A total of 383 women were interviewed in this descriptive study.
A descriptive study was conducted to evaluate the effects of hormonal contraceptives and intrauterine device on the pattern of menstrual cycle.
This study was done by interviewing questionnaire. The structured interviewing questionnaire included the following data: personal history, menstrual history, obstetrical history and family planning history.
The results of this study showed that about two thirds (68.5 %,) of women who had used IUD had complained of dysmenorrhea and (48.1%) of women had menorrhagia with IUD using.
The present results revealed that POPs affect the menstrual cycle in the form of amenorrhea in 22.4 % and irregular bleeding (polymenorrhea and metrorrhagia ) in 42.1%.
As regards COCs the findings in the present study showed that there were regular cycles in 83.7% and Menstrual disorders were found in 48.8% in the form of hypomenorrhea in 66.7 % and metrorrhagia in 33.3%.
The results of the current study showed that among the acceptors, 76.5% developed amenorrhea with DMPA, and irregular bleeding in 58.3% (oligomenorrhea in 21.4 %, polymenorrhea in 42.9% and metrorrhagia in 35.7%).
The results of the present study showed that among the acceptors 50.8% developed amenorrhea with implanon, and irregular bleeding in 46.7% (oligomenorrhea in 50 % , polymenorrhea in 14.9 % and metrorrhagia in 35.7%)
In the present study, there were (24.8%) and (18.1%) of women had discontinued copper IUD due to bleeding and dysmenorrheal respectively.
The results of the present study showed that there were (37.8 %), (2.2 %) and (15.6 %) of women had discontinued POPs due to bleeding, amenorrhea and forget it respectively.
In the present study, there were (2.6 %), (2.6 %) and (23.1%) of women had discontinued COCs due to bone pain, hypomenorrhea and forget it respectively.
The present study showed that there were (22.2 %), (6.2 %) and (18.5%) of women had discontinued DMPA due to bleeding, bone pain and amenorrhea respectively.
Finally the findings of the current study reported that women who had discontinued implanon due to bleeding in 28.6 % and due to amenorrhea in 14.3%.