A prospective analysis of continuation rates and bleeding problems of a single-rod etonogestrel implant.
ESC Congress Library. VALDES-PONS J. May 10, 2018; 208130; ESC184
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OBJECTIVES The primary objective of the study was to evaluate the continuation rates of a single-rod etonogestrel implant (Implanon®) along her first year of use for new users. The secondary objective was to study discontinuations related to bleeding problems. DESIGN que METHODS A prospective analysis of records of women between 18 to 40 years old, along in her first year of Implanon use for new users. Women entered the study between January and May 2016. All the women who opted for the Implanon implant (the only one available at the moment in Galicia) were given a Medical History and the eligibility criteria of the WHO were applied. They were also informed that often the menstrual cycle would decrease in intensity and pain if it had previously, but it would become a frequent vaginal spotting. All the women underwent a pregnancy test and if the circumstances made the pregnancy unlikely, the implant was inserted. All the women were checked in consultation at 5 weeks after insertion, until then using a contraceptive method of reinforcement, and they underwent pregnancy tests in case of amenorrhea. They had total freedom to go to the hospital if they suspected any setback. RESULTS No problems were experienced with insertion of implants. The implant was inserted in 28 women. Follow-up was possible in 24 women. There were no known pregnancies during the study. Four implants (16,6%) were removed by the end of the study period, with 100% removals attributed to prolonged heavy/light bleeding . The continuation rate after 12 months was 83,4%. In all the 24 women of study, 58,3% had less or equal menstruation (16,6 cases of amenorrhea) and 41,6% more menstruation (prolonged heavy/light bleeding). CONCLUSIONS Although not free of side-effects, Implanon can be a good choice for women who are properly informed and counselled. The main reason for discontinuation was a prolonged bleeding pattern.
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