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Side effects and acceptability of Implanon: a pilot study conducted in eastern Turkey
Beyhan Yildizbas1, H Guler Sahin, Ali Kolusari
1Department of Obstetrics and Gynaecology, Yuzuncu Yil University, Van, Turkey.
Summary
Implanon use led to irregular bleeding in most women, causing a high discontinuation rate within 6 months. Side effects like amenorrhea and mastalgia were common, though dysmenorrhea decreased.
Area of Science:
- Contraception and Reproductive Health
- Endocrinology
- Women's Health
Background:
- Implanon is a progestogen-only contraceptive implant.
- Understanding its side effect profile is crucial for patient counseling and adherence.
Purpose of the Study:
- To evaluate the side effects of Implanon during the initial 6 months of use.
- To determine the discontinuation rate due to adverse events.
Main Methods:
- Prospective study of 41 healthy women in eastern Turkey using Implanon.
- Data collection on side effects and menstrual patterns over 6 months post-insertion.
- Statistical analysis using paired samples t-test.
Main Results:
- No pregnancies occurred.
- Abnormal bleeding affected 58.5% of women; 34.1% experienced amenorrhea.
- Dysmenorrhea decreased significantly, but mastalgia and mood changes increased.
- Discontinuation due to irregular bleeding, mood changes, or weight gain occurred in 19.5% of participants.
Conclusions:
- Irregular bleeding is a primary reason for Implanon discontinuation.
- The 6-month discontinuation rate in this population is high, necessitating further investigation and patient management strategies.
