Insertion and 3-year follow-up experience of 372 etonogestrel subdermal contraceptive implants by family physicians in Granada, Spain

BACKGROUND: User profile, continuation rate, reasons for discontinuation, problems during insertion and removal, and effectiveness of an etonogestrel subdermal contraceptive implant (ESCI) were assessed.

STUDY DESIGN: A follow-up of 372 women 3 years after insertion of an ESCI performed by family physicians in Granada, Spain, by means of consultations, examination of medical records and telephone interviews.

RESULTS: Data were available for 356 (95.7%) women. The average age was 27.2 years, and 159 (42.7%) were nulliparous. Continuation rates were 91.0% at 1 year, 74.7% at 2 years and 65.1% at 2 years and 9 months. The main reasons for discontinuation were excessive bleeding (44, 12.4%), wish to become pregnant (44, 12.4%) and side effects not related to menstruation (21, 5.9%). However, 141 (39.6%) received a second implant when the first one expired. No pregnancy occurred in 893.4 women-years.

CONCLUSIONS: Family physicians can achieve excellent results with the ESCI. It should be included in the range of contraceptives offered by primary care physicians.

Medienart:

E-Artikel

Erscheinungsjahr:

2009

Erschienen:

2009

Enthalten in:

Zur Gesamtaufnahme - volume:80

Enthalten in:

Contraception - 80(2009), 5 vom: 19. Nov., Seite 457-62

Sprache:

Englisch

Beteiligte Personen:

Arribas-Mir, Lorenzo [VerfasserIn]
Rueda-Lozano, Dolores [VerfasserIn]
Agrela-Cardona, María [VerfasserIn]
Cedeño-Benavides, Tania [VerfasserIn]
Olvera-Porcel, Carmen [VerfasserIn]
Bueno-Cavanillas, Aurora [VerfasserIn]

Links:

Volltext

Themen:

304GTH6RNH
81K9V7M3A3
Contraceptive Agents, Female
Desogestrel
Drug Implants
Etonogestrel
Journal Article
Research Support, Non-U.S. Gov't

Anmerkungen:

Date Completed 22.02.2010

Date Revised 20.11.2014

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.contraception.2009.04.003

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM19211042X