Abstract：
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.
journal_name
Contraceptionjournal_title
Contraceptionauthors
Arribas-Mir L,Rueda-Lozano D,Agrela-Cardona M,Cedeño-Benavides T,Olvera-Porcel C,Bueno-Cavanillas Adoi
10.1016/j.contraception.2009.04.003subject
Has Abstractpub_date
2009-11-01 00:00:00pages
457-62issue
5eissn
0010-7824issn
1879-0518pii
S0010-7824(09)00118-8journal_volume
80pub_type
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