A STUDY OF EFFICACY AND SAFETY PROFILE WITH SUB DERMAL SINGLE ROD CONTRACEPTIVE IMPLANT IMPLANON
Journal of Evolution of Medical and Dental Sciences
INTRODUCTION: The development of sub dermal contraceptive implant has been an important improvement in current contraceptive technology and to a good alternative to offer well established contraceptive method. Hormonal implant must show high efficacy, high acceptability and rapid return of fertility after removal by maintaining a sustained release of progesterone, the contraceptive effect of the implant can be obtained with a much smaller daily dose than when administering the same steroid by
... e same steroid by an oral or intramuscular route. Sub dermal implants are also independent of user compliance which remains a determinant factor in the efficacy of most contraceptive methods. In addition after removal of the hormonal implant, fertility returns almost immediately. They contain only progestogen, these implant may also be used by women who cannot tolerate oestrogen or by women for whom oestrogen is contraindicated. The availability of new innovative contraceptive implant system such as implanon is very important to offer couples alternative methods to plan size of their family more efficiently. OBJECTIVES: To study efficacy and safety profile of single rod sub dermal contraceptive device implant implanon. To evaluate the vaginal bleeding patterns observed during the use of implanon. To assess the acceptability of the contraceptive device as indicated by discontinuation rates. MATERIAL AND METHODS: Study was carried in OBG department of RMC Kanpur on healthy female volunteers having regular menstruation & at least one living child. RESULT: The result of this study was excellent in terms of contraception with pearl index of 0, almost one third cases were having in frequent bleeding episode. CONCLUSION: The study was conducted on 110 women of age 20-35 years with at least one living child and having regular menstrual period, in present study half of cases discontinued implant due to no fix pattern of bleeding and failure was o%, efficacy of this implant is excellent with a pearl index of 0%. CONCLUSION: The study was conducted on 110 women of age group 20-35 years, each of them having at least one living child and having regular menstrual period (28±7) day. The study was done with an objective to study efficacy and safety profile of sub dermal single rod contraceptive implant implanon. CONCLUSION DRAWN FROM THE STUDY WERE AS FOLLOWS: Most of cases i. e. 93.62% were below the age of 30 year. Mean age of cases was 25.7±2.1. More than half of cases (61.8%) were second and third Para. Mean parity was 2.25±0.56. All cases in study group showed no adverse reaction like irritation, pain, expulsion, migration from the site. Almost one third (31.18%) cases were having infrequent bleeding (more than five bleeding spotting episodes starting within a reference period. In present study half of cases (10%) of cases discontinued implant due to no fix pattern of bleeding. Bleeding irregularities were the main reason for discontinuation of implant implanon. In this study failure rate was 0% Efficacy of this implant is excellent, with a pearl index of 0%.