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From the data at PMB Winastuty, Jetaksari village in 2022, there were several IUD acceptors (10) participants, MOW acceptors (2) participants, MOP acceptors (0) participants, implant acceptors (150) participants, injection acceptors (1,275) participants, pill acceptors (24) participants, and condom acceptors (0) participants. Moreover, most of them do not know what hormonal and non-hormonal contraception is and do not know about the contraceptive methods they use in terms of how to use contraception, the advantages and disadvantages of contraception, contraceptive indications, contraceptive contraindications, the time of use of contraception, side effects, and treatment with contraception. All they know is how to delay pregnancy so that it is not too close and at a low cost. To determine the relationship between the level of knowledge of the mother and the choice of contraception at PMB Winastuty in Jetaksari Village, Sayung District, Demak Regency, Central Java. This research is a quantitative correlation study using a cross-sectional approach and a purposive sampling method. In this study, all family planning acceptors who visited PMB Winastuty in 2022 totalled 1,461 acceptors. The average was made of 1,461 ÷ 12 = 121.75 per month, and it was rounded up to 122 acceptors each month, following the object under study, all hormonal and non-hormonal acceptors who visited PMB Winastuty. The sampling method in this study was purposive sampling with a total of 94 family planning acceptors. Data collection techniques used primary data collected through questionnaires and bivariate analysis using the Mann-Whitney test. Based on data analysis, the Asymp value was obtained. Sig 0.426 > 0.05. These results indicate that there is no relationship between the level of knowledge of the mother and the choice of contraceptive method.

According to the World Health Organization (WHO) in 2017 contraceptive use has increased in many parts of the world, especially in Asia and Latin America and is lowest in Sub-Saharan Africa. Globally, users of modern contraception have increased significantly from 35% in 1970 to 63% in 2017. The 2019 Indonesia Health Profile data shows that most active family planning participants choose injections and pills as contraceptives and are even very dominant (more than 80 %) compared to other methods; inject (63.7%), Pill (17.0%), Implant (7.4%), IUD/IUD (7.4%), Condom (1.2%), MOW (Women's Operative Method) (2 .7%), MOP (Male Operative Method) (0.5%). (RI Ministry of Health, 2020). The side effect of hormonal contraception is disruption of menstruation. The main side effects of DMPA (Depot Medroxyprogesterone Acetate) contraception and implants are menstrual disorders in the form of amenorrhea, spotting, changes in cycles, frequency, length of menstruation and amount of blood loss. The side effects of a contraceptive method are a factor that needs to be considered in determining the decision to continue using the contraceptive method (Hartanto, 2013). The type of research used in this research is analytic with a cross sectional approach. Cross sectional is a research approach that emphasizes the time of measurement/observation of independent variable data and depends only once at a time. The research sampling technique is total sampling. This research will be conducted at the Pratama Vina Clinic, Medan Baru District, Medan City in 2023. The results of the chi-squere test d. There is a significant relationship between the type of hormonal contraception and menstrual disorders in women of childbearing age at the Pratama Vina Clinic, Medan Baru District, Medan City, in 2023 (p= 0.013) and there is a significant relationship between the length of use of hormonal contraception and menstrual disorders in women of childbearing age at the Pratama Vina Clinic, Medan Baru District, Medan City in 2023 (p=0.031).

Uterine myoma is one of the most common tumors found in premenopause. Symptoms that can arise vary, ranging from asymptomatic to symptoms that interfere with daily activities. The most common symptoms arise, namely pain and vaginal bleeding. Women who have, myoma diagnosed certainly emits risk factors. Risk factors that can aggravate, among them are heredity, obesity, hormonal contraception, nullipara, hypertension, primipara age <20 years, deficiency of vitamins D Risk Factors Risk of land can be able to be able That, as for effective modalities is used for supporting examinations of uterine uterine and MRI uterine myomas. Ultrasound can be done as an initial screening, while MRI is better used for a more appropriate location when compared to ultrasound.