Implantable contraceptives for women: effectiveness, discontinuation rates, return of fertility, and outcome of pregnancies

Glasier, Anna

doi:10.1016/s0010-7824(01)00284-0

Cited by 100 publications

(49 citation statements)

References 48 publications

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“…3,4 Implanon is increasing in popularity because its insertion and removal is much easier and faster than with Norplant. In addition, previous studies have shown that complications associated with its insertion and removal are rare in the hands of medical professionals familiar with the techniques.…”

Section: Dovepressmentioning

confidence: 99%

Users’ perspectives on Implanon in Malaysia, a multicultural Asian country

Mastor¹,

Khaing²

2011

OAJC

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Background:The primary objective of this study was to evaluate Malaysian women's perception, acceptance, and views on Implanon ® as a contraceptive method. We also aimed to identify women who favor Implanon, their vaginal bleeding patterns, nonmenstrual adverse events, reasons for discontinuation, and effect of Implanon on breastfeeding. Study design: This study followed up 140 women after insertion of Implanon at the University of Malaya Medical Centre by examination of their medical records and telephone interviews. User profile, discontinuation rate, reasons for choice of Implanon, discontinuation, menstrual and nonmenstrual side effects, and satisfaction rate were assessed. Results: The average age of users was 34.7 years, and 94.2% were para 2 and above. The ethnic distribution of the women reflected that of the general Malaysian population. The majority had at least secondary education (94.2%), with 41.2% having a higher degree. All of the users reported that they chose Implanon because it does not need compliance, and 72.1% felt that Implanon was cost-effective in the long term. Most users (70%) reported irregular menses and this was the main reason given for discontinuation. The vast majority reported an overall decrease in menstrual blood loss. Almost half (46%) suffered prolonged bleeding/spotting, and infrequent bleeding was experienced by 71 users (50.7%). Half of the women did not experience any nonmenstrual adverse events. The commonest complaint was weight gain, with the next most common complaints being hair loss, acne, headache, nausea, mood swings, and reduced libido. Most of the nursing mothers denied a reduction in breast milk. There was a high mean satisfaction score with Implanon. Conclusion: Implanon is well accepted by Malaysian women despite a high incidence of irregular bleeding which was found to be a major concern among women who discontinued the implant.

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Section: Dovepressmentioning

confidence: 99%

Users’ perspectives on Implanon in Malaysia, a multicultural Asian country

Mastor¹,

Khaing²

2011

OAJC

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“…Bien que l'on dispose d'un recul de 25 ans sur le désogestrel (dont le métabolite actif est l'étonogestrel) ainsi que de données rassurantes sur les plus anciens progestatifs [6,7], un suivi systématique de toutes les grossesses rapportées sous Implanon ® serait justifié à travers une collaboration entre le laboratoire et un Centre régional de pharmacovigilance dont le suivi des grossesses est en général plus exhaustif que celui des firmes. Le nombre de grossesses ectopiques (1/39 dans notre étude), signalé dans le RCP d'Implanon ® , également élevé dans le rapport périodique international de tolérance (16/280, soit 6 %), dépasse le taux attendu de 2 % comme avec d'autres implants progestatifs (Norplant ® ) dans certaines études [8]. Il n'est cependant pas exclu qu'une grossesse ectopique soit plus volontiers déclarée qu'une autre grossesse, surestimant ainsi le l'incidence de cet événement.…”

Section: Discussionunclassified

Implanon® : difficultés d'insertion et de retrait, échecs contraceptifs

Bensouda-Grimaldi

Jonville-Béra

Beau-Salinas

et al. 2005

Gynécologie Obstétrique & Fertilité

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“…Although obese women were purposely excluded from the developmental studies, a small number of women (175) weighing over 70 kg did participate, with no pregnancies during Implanon use. 18 In another study, serum progesterone levels were lower in heavier women (O70 kg) using Implanon, but as there were no failures, differences in efficacy were not detected. 8…”

Section: Implanon Use In Obese Patientsmentioning

confidence: 95%

“…18 Bleeding irregularities were cited most frequently as the reason for discontinuation. Weight changes, acne, and wanting a baby account for most of the remainder of reasons for Implanon removals.…”

Section: Discontinuation Of Implanonmentioning

confidence: 99%

Implanon: The Subdermal Contraceptive Implant

Isley

2010

Journal of Pediatric and Adolescent Gynecology

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Implantable contraceptives for women: effectiveness, discontinuation rates, return of fertility, and outcome of pregnancies

Cited by 100 publications

References 48 publications

Users’ perspectives on Implanon in Malaysia, a multicultural Asian country

Users’ perspectives on Implanon in Malaysia, a multicultural Asian country

Implanon® : difficultés d'insertion et de retrait, échecs contraceptifs

Implanon: The Subdermal Contraceptive Implant

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Implantable contraceptives for women: effectiveness, discontinuation rates, return of fertility, and outcome of pregnancies

Cited by 100 publications

References 48 publications

Users&rsquo; perspectives on Implanon in Malaysia, a multicultural Asian country

Users&rsquo; perspectives on Implanon in Malaysia, a multicultural Asian country

Implanon® : difficultés d'insertion et de retrait, échecs contraceptifs

Implanon: The Subdermal Contraceptive Implant

Contact Info

Product

Resources

About

Users’ perspectives on Implanon in Malaysia, a multicultural Asian country

Users’ perspectives on Implanon in Malaysia, a multicultural Asian country