López Del Cerro Esther, Serrano Diana Carolina, Castillo Cañadas Ana María, González Mirasol Esteban, García Santos Francisco, Gómez García María Teresa, González de Merlo Gaspar
a Department of Obstetrics and Gynecology , Hospital General Universitario de Albacete , Albacete , Spain.
b Departamento de Ciencias Médicas , Facultad de Medicina de la Universidad de Castilla La Mancha , Albacete , Spain.
J Obstet Gynaecol. 2018 Oct;38(7):979-984. doi: 10.1080/01443615.2018.1430753. Epub 2018 Mar 19.
The use of long-acting contraceptive methods is on the rise. The aim of this study was to describe the main variables (effectiveness, tolerability, menstrual bleeding) associated with the use of subdermal contraceptive implants and to investigate the influence of age on these variables. This was a descriptive, retrospective, observational study of 221 cases of contraceptive implants inserted at a Spanish hospital between 2006 and 2015. The mean age of implant users was 31.2 ± 7.5 years. Effectiveness was 100% and good tolerability was recorded for 86.5%. Infrequent bleeding was the most common bleeding pattern, followed by amenorrhoea. Of the 221 implants inserted, 47.5% were removed. The main reasons were expiration (54.3%) and discomfort due to bleeding alterations and other adverse effects (25.7%). Nulliparity and weight gain were significantly associated with an increased probability of implant removal. This study shows that implants were highly effective, safe and well-tolerated in our population. The age of users had no influence on any of the study variables analysed. Impact Statement What is already known on this subject? Subdermal contraceptive implants are long-acting reversible contraceptives which are both safe and effective. What do the results of this study add? The age of users had no influence on any of the study variables analysed. Nulliparity and weight gain were significantly associated with an increased probability of implant removal. What are the implications of these findings for clinical practice and/or further research? Subdermal contraceptive implants were a safe and effective long-acting progestin contraceptive method for women from all age groups in our series because no significant age-related differences were observed for the tolerability, vaginal bleeding patterns, the effectiveness, the adverse effects or any other variables.
长效避孕方法的使用正在增加。本研究的目的是描述与皮下避孕植入物使用相关的主要变量(有效性、耐受性、月经出血情况),并研究年龄对这些变量的影响。这是一项描述性、回顾性、观察性研究,对2006年至2015年期间在一家西班牙医院植入的221例避孕植入物病例进行了研究。植入物使用者的平均年龄为31.2±7.5岁。有效性为100%,86.5%的使用者耐受性良好。出血不频繁是最常见的出血模式,其次是闭经。在植入的221个植入物中,47.5%被取出。主要原因是到期(54.3%)以及出血改变和其他不良反应引起的不适(25.7%)。未生育和体重增加与植入物取出概率增加显著相关。本研究表明,植入物在我们的人群中具有高效、安全且耐受性良好的特点。使用者的年龄对所分析的任何研究变量均无影响。影响声明关于该主题已知的信息是什么?皮下避孕植入物是长效可逆避孕方法,既安全又有效。本研究的结果增加了什么?使用者的年龄对所分析的任何研究变量均无影响。未生育和体重增加与植入物取出概率增加显著相关。这些发现对临床实践和/或进一步研究有何意义?在我们的系列研究中,皮下避孕植入物对所有年龄组的女性来说都是一种安全有效的长效孕激素避孕方法,因为在耐受性、阴道出血模式、有效性、不良反应或任何其他变量方面未观察到与年龄相关的显著差异。