Characteristics and experiences of etonogestrel-releasing contraceptive implant users in a cohort of Turkish women

Year 2019, Volume: 11 Issue: 1, 34 - 39, 31.03.2019

Demet Kokanalı , Meryem Kuru Pekcan , Yasemin Taşçı

https://doi.org/10.21601/ortadogutipdergisi.501805

Abstract

Aim:
To
determine the characteristics and experiences of Etonogestrel-releasing implant
users in Turkish women cohort.

Materials
and Methods: A retrospective cohort study carried out
in a tertiary referral public hospital. The charts of ninety-one women who had Etonogestrel-releasing
implant inserted between January 2014, and April 2016 were reviewed.

Results: Of ninety-one women, over half (52.8 %) were aged ≥ thirty and a
few were < twenty-five (5.5%).
Only three (3.3%) women were nulliparous. Over half were university or higher
graduated (54.9%) and employed (58.2%). Efficacy was the most commonly cited reasons to choose the method. Overall continuation rates were 75.0 % at twenty-five months and 50.0% at thirty-four months. Twenty-nine women removed implant before the period of use expired. Eighteen of these wanted to conceive and the other eleven discontinued because of side effects they experienced. Irregular menstrual bleeding was the most frequent side effect for removal. No woman conceived while using the method.

Conclusion: Etonogestrel-releasing
implant is used for its efficacy by a
range of Turkish women who are especially parous, well-educated and employed.
While it has high continuation rates, irregular menstrual bleeding is the
commonest side effect for early removal.

Keywords

contraception, etonogestrel, implant

Türk kadın kohortunda etonogestrel salan kontraseptif implant kullanıcılarının özellikleri ve deneyimleri

Abstract

Amaç:
Türk kadın kohortunda etonogestrel salan implant kullanıcılarının özelliklerini
ve deneyimlerini belirlemek.

Gereç
ve Yöntemler: Bu retrospektif kohort çalışma,
tersiyer bir referans devlet hastanesinde gerçekleştirildi. Ocak 2014 ile Nisan
2016 arasında Etonogestrel salan implant yerleştirilmiş 91 kadının verileri
gözden geçirildi.

Bulgular:
Doksan bir kadının yarısından fazlası (%52,8) 
≥30 ve birkaçı< 25 (%5,5) yaştaydı. Sadece 3 (%3,3) kadın nullipardı.
Yarısından fazlası universite ve üstü okullardan mezundu (%54,9) ve bir işte çalışmaktaydı
(%58,2). Etkinlik en fazla tercih edilme nedeniydi. Yöntemi kullanmaya devam
etme oranı yirmi beş ayda %75,0 ve otuz dört ayda %50,0 idi. Yirmi dokuz kadın,
kullanım süresi dolmadan implantı çıkardı. Bunların 18'i gebe kalmak istedi ve
diğer 11’i yaşadıkları yan etkiler nedeniyle implant kullanmayı bıraktı.
Düzensiz adet kanaması, en sık görülen yan etkiydi. Bu yöntemi kullanırken
hiçbir kadında gebelik oluşmadı.

Sonuç:
Etonogestrel salan implant, özellikle doğum yapmış, iyi eğitimli ve bir işte
çalışan Türk kadını tarafından etkinliği için kullanılmaktadır. Kullanımına
devam etme oranları yüksek olmasına rağmen, düzensiz adet kanaması erken çıkartma
nedeni olan en sık yan etkisidir.

Keywords

kontrasepsiyon, etınogestrel, implant

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