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Published on: July 26, 2024
Implanon: subdermal single rod contraceptive implant
Pushpa Bhatia1, Sangita Nangia, Shivani Aggarwal
1Kasturba Hospital, Delhi, India.
Journal of Obstetrics and Gynaecology of India
|August 2, 2012
Summary
Implanon is a safe and effective contraceptive method. It demonstrates high acceptability, with no failures and a rapid return to fertility after removal, leading to high conception rates.
Area of Science:
- Reproductive Health
- Contraception
- Clinical Trials
Background:
- Contraceptive implants are a significant advancement in family planning.
- Understanding the long-term outcomes of contraceptive implants is crucial for patient counseling.
Purpose of the Study:
- To assess the acceptability, efficacy, safety, and return of fertility associated with Implanon use.
- To evaluate patient-reported bleeding patterns and side effects during Implanon use.
Main Methods:
- A prospective study enrolled 200 women requiring contraception.
- Implanon insertion occurred within 5 days of the last menstrual period (LMP) or concurrently with medical termination of pregnancy (MTP).
- Participants recorded bleeding patterns and side effects; follow-up included assessment of ovulation and pregnancy post-removal.
Main Results:
- No Implanon failures were reported in the study cohort.
- Common reasons for discontinuation included polymenorrhagia (16%), irregular bleeding (10%), and amenorrhea (4.5%).
- 40% of women experienced a return of ovulation within one month, and 95.8% conceived within 12 months of Implanon removal.
Conclusions:
- Implanon is a safe and highly effective contraceptive method.
- The device is well-accepted by users, with a favorable profile for return of fertility.
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