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Related Experiment Videos

A two-year experience with Norplant implants in Assiut, Egypt.

M M Shaaban, M Salah

    Contraception
    |April 1, 1984
    PubMed
    Summary

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    NORPLANT implants showed a higher two-year continuation rate (67.9%) compared to TCu-380-Ag IUDs (52.3%). Despite initial menstrual irregularities, most NORPLANT users reported satisfaction and regular periods by year two.

    Area of Science:

    • Reproductive Health
    • Contraceptive Technology
    • Clinical Trials

    Background:

    • NORPLANT implants and TCu-380-Ag IUDs are widely used reversible contraceptives.
    • Understanding long-term user experience and continuation rates is crucial for effective family planning programs.

    Purpose of the Study:

    • To compare the two-year net continuation rates of NORPLANT implants versus TCu-380-Ag IUDs.
    • To assess user satisfaction and side effects, particularly menstrual changes, associated with NORPLANT implants.

    Main Methods:

    • A two-year prospective study involving 250 NORPLANT implant users and 100 TCu-380-Ag IUD users in Assiut, Egypt.
    • Data collection focused on continuation rates, reasons for removal, menstrual pattern changes, and overall user satisfaction.
    Keywords:
    AfricaArab CountriesBehaviorContraceptionContraception ContinuationContraception TerminationContraceptive AgentsContraceptive Agents, FemaleContraceptive Implants--side effectsContraceptive Methods--side effectsContraceptive UsageDemographic FactorsDeveloping CountriesEgyptFamily PlanningFertilityMediterranean CountriesMenstrual CycleMenstruationMethod AcceptabilityNorthern AfricaPopulationPopulation DynamicsReproductionReproductive Behavior

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    Main Results:

    • The two-year net continuation rate was 67.9 per 100 for NORPLANT users and 52.3 per 100 for IUD users.
    • Disruption of menstrual rhythm was the primary reason for NORPLANT removal.
    • By the second year, 75% of NORPLANT users experienced monthly periods, with varied blood loss patterns.
    • Approximately 88% of NORPLANT acceptors rated their experience as good or excellent.

    Conclusions:

    • NORPLANT implants demonstrated a higher continuation rate than TCu-380-Ag IUDs over two years in this Egyptian cohort.
    • While menstrual irregularities are an initial concern, NORPLANT use is associated with high user satisfaction and improved menstrual patterns over time.
    • NORPLANT implants represent a viable and satisfactory long-term contraceptive option for women in Assiut, Egypt.