Review of implanon usage in women attending a fertility control clinic

Review of implanon usage in women attending a fertility control


J. Amu, A. Basu, O. Amu

Department of Obstetrics and Gynaecology, The Royal

Oldham Hospital, Oldham, UK

Objective Implanon is a long-term

reversible contraceptive implant. This study aims at reviewing the usage trends

of Implanon among women attending a fertility control clinic in a District

General Hospital.

Methods A retrospective analysis of data over a three year

period from women who chose Implanon as future contraception.

Results During

the study period women deemed suitable with no contraindication were offered

Implanon as a long term reversible contraceptive. A total of 470 women had

Implanon inserted in the periabortal period while another 31 had it removed.

Most of the referrals were from General Practitioners though there were some

through other sources. The average age of women in the insertion group was 26.

Among them, 85% were Caucasians, 11% were Asians and 2.7% were Afro-Caribbeans.

56% of the insertion group were nulliparous while 24% had been pregnant only

once. 39% had used combined oral contraceptives in the past while 32% had used

condoms. 18% had not used any type of contraception in the past. Implanon had

been used in the past by only 1. Unplanned pregnancy was the commonest reason

(66%) for these women requesting termination of pregnancy and 6% wanted

termination for poor finances. Of those who had a second reason (212) 35% could

not cope with a pregnancy and 26% felt the pregnancy was unplanned.

Conclusion Implanon is a widely accepted and tolerated modality of contraception. It should

be considered as an option in women seeking termination of pregnancy for

available reasons.

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