Etonogestrel-releasing contraceptive implant use by women with sickle cell disease
ESC Congress Library. Queiroz Vilas Boas A. May 10, 2018; 208135; ESC192
Mrs. Andréa Queiroz Vilas Boas
Mrs. Andréa Queiroz Vilas Boas
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Abstract
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OBJECTIVE: Women with sickle cell disease have an increased risk of pregnancy-related complications and need safe, effective contraceptive methods to prevent unintended pregnancy. The Etonogestrel (ENG)-releasing contraceptive implant is one of the most effective contraceptive available. However, as far as we know, its effects in women with sickle cell disease have never been described. Thus, the objective of this study was to assess metabolic effect of ENG-releasing contraceptive implant in women with sickle cell anemia during twelve months. DESIGN & METHODS:Clinical study, prospective, exploratory and experimental .A Sixteen women with sickle cell disease aged 18 to 40 years-old, non-obese, with pain crisis and without comorbidity were selected. Blood samples were collected to evaluate complete blood count (reticulocytes, hemoglobin, platelets and leukocytes), hepatic function (Alkaline phosphatase, gamma-glutaryl transferase, amino alanine transferase, aspartate amino transferase, total bilirubin and its fractions), Lipid profile (total cholesterol, HDL, LDL and triglycerides), Lactate dehydrogenase (LDH) before, 6 and 12 months after the implant insertion. The statistical analyses used were Paired t-Student test, Wilcoxon Rank Test and frequency, as appropriated. RESULTS: The laboratory variables analyzed showed no difference between the baseline period, 6 and 12 months after the implant insertion. Baseline 6meses 12 meses IMC 21,2±4 21,5±4,5 21,9±4,9 HB 7,4±1,3 7,5±1,1 7,2±1,1 HT 21,0±3,6 21,0±3,3 20,3±3,5 CA 77,0±10,2 78,1±11,4 78,5±10,3 LDH 1238±638 1204±541 1292±710 Reticu 12,1±5 11,8±5,3 13,8±4,4  CONCLUSION: The ENG-releasing contraceptive implant represents an option for contraception in women with sickle cell disease. The partial results of this research showed neither clinical change in laboratory parameters.
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