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Australian women's experience with Implanon.

Edith Weisberg1, Ian Fraser

  • 1Research Division, FPA Health, New South Wales, Australia. edithw@fpahealth.org.au

Australian Family Physician
|August 23, 2005
PubMed
Summary

The etonogestrel subdermal contraceptive implant (Implanon) is acceptable for women of all reproductive ages. However, changes in bleeding patterns are the primary reason for discontinuation, highlighting the need for thorough pre-insertion counseling.

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Area of Science:

  • Reproductive Health
  • Contraception
  • Women's Health

Background:

  • Subdermal contraceptive implants offer long-acting reversible contraception.
  • Etonogestrel implant (Implanon) is a widely used option.
  • Understanding user experiences is crucial for effective implementation.

Purpose of the Study:

  • To evaluate Australian women's experiences with the etonogestrel subdermal contraceptive implant (Implanon).
  • To assess the acceptability and satisfaction levels associated with Implanon use.
  • To identify factors influencing discontinuation of the contraceptive implant.

Main Methods:

  • A cohort of 651 women undergoing Implanon insertion were recruited.
  • Participants completed self-administered questionnaires at insertion and at 3, 6, and 12 months post-insertion.
  • Data on device removal, reasons for removal, and satisfaction were collected.

Main Results:

  • Out of 475 respondents, significant numbers discontinued Implanon due to side effects, primarily altered vaginal bleeding patterns (18% by 3 months, 37% by 12 months).
  • Despite discontinuation, most women rated the implant positively, indicating general satisfaction with the method itself.
  • Removal rates increased over the 12-month period, with bleeding irregularities being the most common reason.

Conclusions:

  • The etonogestrel implant (Implanon) demonstrates acceptability across diverse reproductive age groups in Australia.
  • Irregular bleeding is the principal determinant of dissatisfaction and discontinuation.
  • Comprehensive pre-insertion counseling regarding potential bleeding changes is essential for managing expectations and improving user satisfaction.

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