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The Journal of Obstetrics and Gynecology of India
Published in: The Journal of Obstetrics and Gynecology of India 4/2011

01-08-2011 | Original Article

Implanon: Subdermal Single Rod Contraceptive Implant

Authors: Pushpa Bhatia, Sangita Nangia, Shivani Aggarwal, Chitra Tewari

Published in: The Journal of Obstetrics and Gynecology of India | Issue 4/2011

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Abstract

Objectives

Study was conducted to determine acceptability, efficacy, safety, return of fertility with Implanon.

Methods

Volunteers having regular menstruation, requiring spacing formed study population. Implanon was inserted within 5 days of LMP or concurrent with MTP. Woman was asked to record bleeding pattern, side effects. Implanon duration was 3 years but Implanon was removed before, if patient wanted pregnancy/for side effects. Subjects who did not adopt family planning method after removal were followed up for return of ovulation and pregnancy.

Results

200 subjects were enrolled (160 within 5 days of LMP, 40 concurrent with MTP). 74 implanon removals were done. (16 after tenure completion, 58 for other reasons.) 16% cases discontinued implanon for polymenorrhagia, 10% for irregular bleeding, 4.5% for amenorrhea. There was no failure of implanon. 40% had return of ovulation within one month, 95.8% conceived within 12 months.

Conclusions

Implanon is safe, effective, well accepted method of contraception.
Literature
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Wechselberger G, Wolfram D, Pulzl P, et al. Nerve injury caused by removal of an implantable hormonal contraceptive. Am J Obstet Gynecol. 2006;195:323–6.PubMedCrossRef
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Osman N, Dinh A, Durbert T, et al.. A new cause for iatrogenic lesion of the ulnar nerve at the arm: contraceptive hormonal implant. Report of two cases. Chir Main. 2005;24:181–3.PubMedCrossRef
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Hidalgo MM, Lisondo C, Juliato CT, et al. Ovarian cysts in users of Implanon, Jadelle subdermal contraception implants. Contraception. 2006;73:532–6.PubMedCrossRef
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Metadata
Title
Implanon: Subdermal Single Rod Contraceptive Implant
Authors
Pushpa Bhatia
Sangita Nangia
Shivani Aggarwal
Chitra Tewari
Publication date
01-08-2011
Publisher
Springer-Verlag
Published in
The Journal of Obstetrics and Gynecology of India / Issue 4/2011
Print ISSN: 0971-9202
Electronic ISSN: 0975-6434
DOI
https://doi.org/10.1007/s13224-011-0066-z

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