Menopause merupakan menstruasi yang berhenti secara permanen yang
disebabkan kehilangan fungsi folikel sel-sel telur. Wanita yang memasuki
menopause mengalami penurunan hormon estrogen yang mengganggu
aktivitas sehari-hari, bahkan menurunkan kualitas hidup. Penggunaan kon-
trasepsi pil berhubungan dengan penundaan usia dan keluhan menopause.
Penelitian ini bertujuan mengetahui hubungan antara penggunaan kon-
trasepsi pil terhadap usia menopause. Penelitian ini menggunakan desain
potong lintang. Populasi adalah wanita menopause di Pos Pembinaan
Terpadu (Posbindu) Kota Depok. Sampel pada penelitian adalah wanita
menopause yang berusia 45 _ 60 tahun. Teknik pengambilan sampel se-
cara purposive sampling subjek dengan besar sampel 407 orang. Analisis
multivariat pada penelitian ini menggunakan cox proportional hazard model.
Hasil analisis multivariat menunjukkan tidak ada hubungan antara lama
penggunaan kontrasepsi pil terhadap usia menopause baik sebelum mau-
pun sesudah dikontrol variabel kovariat, yaitu tingkat pendidikan. Namun
demikian, masih diperlukan penelitian lain dengan menggunakan desain
penelitian kohort prospektif untuk dapat melihat hubungan temporal antara
lama penggunaan kontrasepsi pil terhadap usia menopause.
Menopause is marked with the permanent cessation of menstruation due to
the loss of follicles. Earlier menopause will be likely to increase the risk
factors relating to declined estrogen level, such as osteoporosis that can
lead to early death. A woman entering menopause period often experiences
declined estrogen hormone that causes her to have complaints or distur-
bances that hinder her daily activities and even reduce her quality of life.
However, the use of oral contraceptive poses a correlation with the post-
poning of menopause age and complaints. The primary aim of this study
was to examine the relation of oral contraceptive use and age at
menopause. This was an observational study with cross-sectional study
design. Population in this study was all menopausal women in integrated
training post (Posbindu), Depok. The sample was menopausal women
among 45 _ 60 years old. Sample was 407 menopausal women taken
purposive sampling. The data was analysed by cox?s proportional hazard
analysed. The longer use of oral contraceptive was not associated with age
at menopause before and after adjusted for confounding variable (educa-
tion). However, another similar studies was still needed with prospective
kohort study design to know temporality causal of longer use of oral
contraceptive and age at menopause.
