Literature DB >> 24591920

Etonogestrel contraceptive implant (Implanon): analysis of patient compliance and adverse effects in the breastfeeding period.

Candan İltemir Duvan1, Elif Gözdemir1, Ikbal Kaygusuz1, Zeynep Kamalak1, Nilgün Öztürk Turhan1.   

Abstract

OBJECTIVE: To analyse the compliance of patients and side effects of Implanon® during breast feeding.
MATERIAL AND METHODS: Prospective study of 61 postpartum women who chose Implanon® for long term contraception between April 2007 and December 2009. Compliance, side effects and removals were recorded.
RESULTS: Amenorrhoea, prolonged bleeding, frequent bleeding and infrequent bleeding were reported in 20 (32%), 13 (21%), 4 (6.5%) and 2 (3.2%) patients, respectively. Non-menstrual side effects experienced by participants included; weight gain reported by 10 patients (16%), anxiety by 6 (9.8%), breast tenderness by 4 (6.5%), headache by 4 (6.5%), pain at the insertion site by two (3.2%), hirstutism by two (3.2%), acne by 1 (1.6%), loss of libido by 1 (1.6%), weight gain and headache by two (3.2%), weight gain and anxiety by two (1.6%). The mean breastfeeding period was 16±7.4/months. During the follow up, Implanon® was removed from 24 patients (39%).
CONCLUSION: If patients are well informed about its expected side effects before placement, Implanon® is well tolerated and i an acceptable choice for women who have recently experienced labor and are looking for long term reversible contraception.

Entities:  

Keywords:  Implanon; breastfeeding; compliance; etonogestrel; postpartum contraception; removal; side effect

Year:  2010        PMID: 24591920      PMCID: PMC3939221          DOI: 10.5152/jtgga.2010.21

Source DB:  PubMed          Journal:  J Turk Ger Gynecol Assoc        ISSN: 1309-0380


  21 in total

1.  Peripartum contraceptive attitudes and practices.

Authors:  Carrie Cwiak; Tara Gellasch; Miriam Zieman
Journal:  Contraception       Date:  2004-11       Impact factor: 3.375

2.  Birth spacing and risk of adverse perinatal outcomes: a meta-analysis.

Authors:  Agustin Conde-Agudelo; Anyeli Rosas-Bermúdez; Ana Cecilia Kafury-Goeta
Journal:  JAMA       Date:  2006-04-19       Impact factor: 56.272

3.  A short interpregnancy interval is a risk factor for preterm birth and its recurrence.

Authors:  Emily A DeFranco; David M Stamilio; Sarah E Boslaugh; Gilad A Gross; Louis J Muglia
Journal:  Am J Obstet Gynecol       Date:  2007-09       Impact factor: 8.661

Review 4.  Tolerability and clinical safety of Implanon.

Authors:  Paul D Blumenthal; Kristina Gemzell-Danielsson; Maya Marintcheva-Petrova
Journal:  Eur J Contracept Reprod Health Care       Date:  2008-06       Impact factor: 1.848

5.  Continuation rates and reasons for removal among Implanon users accessing two family planning clinics in Queensland, Australia.

Authors:  Caroline Harvey; Charrlotte Seib; Jayne Lucke
Journal:  Contraception       Date:  2009-07-10       Impact factor: 3.375

6.  Mechanism of action of progesterone as contraceptive for lactating women.

Authors:  S Díaz; P Miranda; A Brandeis; H Cárdenas; H B Croxatto
Journal:  Ann N Y Acad Sci       Date:  1991       Impact factor: 5.691

Review 7.  Nonmenstrual adverse events during use of implantable contraceptives for women: data from clinical trials.

Authors:  V Brache; A Faundes; F Alvarez; L Cochon
Journal:  Contraception       Date:  2002-01       Impact factor: 3.375

8.  Implanon: user views in the first year across three family planning services in the Trent Region, UK.

Authors:  S Reuter; A Smith
Journal:  Eur J Contracept Reprod Health Care       Date:  2003-03       Impact factor: 1.848

9.  Contraceptive efficacy and side effects of Implanon.

Authors:  K Gezginc; O Balci; R Karatayli; M C Colakoglu
Journal:  Eur J Contracept Reprod Health Care       Date:  2007-12       Impact factor: 1.848

10.  Effects of interpregnancy interval and outcome of the preceding pregnancy on pregnancy outcomes in Matlab, Bangladesh.

Authors:  J DaVanzo; L Hale; A Razzaque; M Rahman
Journal:  BJOG       Date:  2007-07-06       Impact factor: 6.531

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  5 in total

Review 1.  The Sexual Acceptability of Contraception: Reviewing the Literature and Building a New Concept.

Authors:  Jenny A Higgins; Nicole K Smith
Journal:  J Sex Res       Date:  2016-03-08

2.  Early Implanon Discontinuation and Associated Factors among Implanon User Women in Debre Tabor Town, Public Health Facilities, Northwest Ethiopia, 2016.

Authors:  Mengstu Melkamu Asaye; Tewodros Syoum Nigussie; Worku Mequannt Ambaw
Journal:  Int J Reprod Med       Date:  2018-01-21

3.  Determinants of early discontinuation of etonogestrel sub-dermal implant among reproductive-age women in Legambo district, Northeast Ethiopia: An unmatched case-control study.

Authors:  Yesuf Yimer; Niguss Cherie; Yitaysh Damtie
Journal:  SAGE Open Med       Date:  2022-03-29

4.  The prevalence of Implanon discontinuation and associated factors among Ethiopian women: A systematic review and meta-analysis.

Authors:  Aklilu Habte; Aiggan Tamene; Demelash Woldeyohannes; Biruk Bogale; Dejene Ermias; Fitsum Endale; Addisalem Gizachew; Merertu Wondimu; Dawit Sulamo
Journal:  Womens Health (Lond)       Date:  2022 Jan-Dec

5.  Sexual function and metabolic/hormonal changes in women using long-term hormonal and non-hormonal contraceptives: a pilot study.

Authors:  Igor Fernando de Aquino Moreira; Maria Passos Bianchini; Gabrielle Rodrigues Campos Moreira; Alessandra Maciel Almeida; Bruno Almeida Rezende
Journal:  BMC Womens Health       Date:  2020-10-27       Impact factor: 2.809

  5 in total

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