Insertion and 3-year follow-up experience of 372 etonogestrel subdermal contraceptive implants by family physicians in Granada, Spain
| Autor: | Tania Cedeño-Benavides, Lorenzo Arribas-Mir, Aurora Bueno-Cavanillas, Carmen Olvera-Porcel, Dolores Rueda-Lozano, María Agrela-Cardona |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Adult
medicine.medical_specialty Adolescent Menstruation Young Adult Contraceptive Agents Female medicine Humans Contraception Behavior Etonogestrel Menstruation Disturbances Drug Implants Pregnancy Desogestrel Obstetrics business.industry Medical record Obstetrics and Gynecology Middle Aged medicine.disease Discontinuation Surgery Treatment Outcome Reproductive Medicine Spain Family planning Female Family Practice Contraceptive implant business Developed country Follow-Up Studies medicine.drug |
| Zdroj: | Contraception. 80:457-462 |
| ISSN: | 0010-7824 |
| DOI: | 10.1016/j.contraception.2009.04.003 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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