Literature DB >> 6809423

A five-year clinical trial of levonorgestrel silastic implants (Norplant TM).

S Diaz, M Pavez, P Miranda, D N Robertson, I Sivin, H B Croxatto.   

Abstract

Silastic implants containing the progestin, levonorgestrel, were tested as a long-term contraceptive system in 101 women. During five full years of use, no pregnancies occurred. The 5-year continuation rate was 54%. Menstrual irregularities were the most frequent reason for termination of use but only during the first year. More than half of the terminations for this reason were in the first year. Some of the subjects elected to continue use of the implants beyond 5 years, allowing release rate data to be obtained through 6 years. From the second through the sixth year of use, the implants delivered a constant 30 micrograms per day of levonorgestrel to the subjects, and even after six years 57% of the original steroid content remained in the capsules. Return of fertility following removal was essentially immediate and not related to time of use. Medical reasons for removal were infrequent and no pattern was discernible.

Entities:  

Keywords:  Age Factors; Americas; Bleeding; Chile; Clinical Research; Contraception; Contraception Continuation; Contraception Termination--statistics; Contraceptive Agents, Female; Contraceptive Agents, Progestin; Contraceptive Agents--administraction and dosage; Contraceptive Agents--side effects; Contraceptive Methods; Contraceptive Usage; Developing Countries; Dizziness; Evaluation; Family Planning; Headache; Hepatic Effects; Infections; Injectables; Latin America; Levonorgestrel--administraction and dosage; Levonorgestrel--side effects; Menstruation Disorders; Metrorrhagia; Nervousness; Obesity; Packaging; Parity; Population Characteristics; Pregnancy; Research Methodology; Reversibility; Separated; South America

Mesh:

Substances:

Year:  1982        PMID: 6809423     DOI: 10.1016/0010-7824(82)90033-6

Source DB:  PubMed          Journal:  Contraception        ISSN: 0010-7824            Impact factor:   3.375


  8 in total

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3.  Obstetrics and Gynecology: The NORPLANT Contraceptive System.

Authors:  D Minkler
Journal:  West J Med       Date:  1986-01

4.  Facts about an implantable contraceptive: memorandum from a WHO meeting.

Authors: 
Journal:  Bull World Health Organ       Date:  1985       Impact factor: 9.408

5.  [Concerning an implantable contraceptive: a memorandum of a WHO meeting].

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Review 6.  Controlled-release delivery systems for hormones. A review of their properties and current therapeutic use.

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8.  Migration of a contraceptive subdermal device into the lung.

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  8 in total

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