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Barriers to Use of Long-Acting Reversible Contraceptives in Adolescents. PHYSICIAN ASSISTANT CLINICS 2018. [DOI: 10.1016/j.cpha.2018.02.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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Roke C, Roberts H, Whitehead A. New Zealand women’s experience during their first year of Jadelle® contraceptive implant. J Prim Health Care 2016; 8:13-9. [DOI: 10.1071/hc15040] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
ABSTRACT
INTRODUCTION
Subsidisation of the levonorgestrel-releasing Jadelle® contraceptive implant in 2010 resulted in a rapid uptake. Clinicians had little prior experience of client satisfaction, side effect profile, and removal rate of this contraceptive method.
AIM
To obtain information on satisfaction, bleeding patterns, continuation rates and reasons for removal for New Zealand women during their first year of use of a subsidised contraceptive implant, Jadelle®.
METHODS
Women having a Jadelle® implant inserted in New Zealand Family Planning clinics were recruited to be followed up by phone, text or email at 1, 3, 6, 9 and 12 months. They were asked about their bleeding pattern, satisfaction and their views on benefits of, or problems with, implant use.
RESULTS
252 women were recruited. The three common bleeding patterns in the cohort were regular periods, amenorrhoea and irregular bleeding. Eighteen percent had their implant removed within the first year with more than half of those being unhappy with their bleeding pattern. This was usually prolonged bleeding. Otherwise satisfaction rates were high throughout the year.
DISCUSSION
The majority of New Zealand women using Jadelle® were satisfied with this method of contraception during their first year of use. Implant removals were most likely to be related to prolonged bleeding. However the commonest bleeding pattern was regular periods.
KEYWORDS
Contraceptive implant; progestin; bleeding; satisfaction; continuation rate; reducing reproductive health inequalities
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Newton VL, Hoggart L. Hormonal contraception and regulation of menstruation: a study of young women's attitudes towards ‘having a period’: Table 1. JOURNAL OF FAMILY PLANNING AND REPRODUCTIVE HEALTH CARE 2014; 41:210-5. [DOI: 10.1136/jfprhc-2014-100956] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2014] [Accepted: 09/13/2014] [Indexed: 11/04/2022]
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Dickson J. Comment on 'unanticipated bleeding with the etonogestrel implant: advice and therapeutic interventions': author's response. JOURNAL OF FAMILY PLANNING AND REPRODUCTIVE HEALTH CARE 2014; 40:311. [PMID: 25240038 DOI: 10.1136/jfprhc-2014-101049] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Affiliation(s)
- Jane Dickson
- Consultant in Sexual and Reproductive Healthcare, Oxleas NHS Foundation Trust, London, UK;
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Ronghe R, Welsh A. Comment on 'Unanticipated bleeding with the etonogestrel implant: advice and therapeutic interventions'. JOURNAL OF FAMILY PLANNING AND REPRODUCTIVE HEALTH CARE 2014; 40:311. [PMID: 25240037 DOI: 10.1136/jfprhc-2014-101034] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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