Continuation rates and reasons for removal among Implanon users accessing two family planning clinics in Queensland, Australia

Contraception
Caroline HarveyJayne Lucke

Abstract

This study examined demographic profile, continuation rates and reasons for removal among Implanon users accessing two family planning clinics in Queensland, Australia. A retrospective chart audit of 976 women who attended for implant insertion over a 3-year period between May 2001 and May 2004. Continuation rates showed that at 6 months after insertion, 94% of women continued, 74% continued at 1 year and 50% continued at 2 years. Metropolitan women were more likely than rural women to discontinue use because of dissatisfaction with bleeding patterns. Cox regression analysis showed that those attending the regional clinic experienced significantly shorter time to removal. Implanon continuation rates and reasons for removal differ between clinics in metropolitan and rural locations. A cooling-off period did not affect the likelihood of continuation with Implanon. Preinsertion counselling should emphasize potential changes in bleeding patterns.

References

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Citations

Oct 10, 2013·Obstetrics and Gynecology·Micaela Oʼneil-CallahanGina Secura
Jun 5, 2015·The European Journal of Contraception & Reproductive Health Care : the Official Journal of the European Society of Contraception·Sara HoltonJane Fisher
Nov 16, 2013·The European Journal of Contraception & Reproductive Health Care : the Official Journal of the European Society of Contraception·Edith WeisbergLita Mohapatra
Mar 15, 2011·The European Journal of Contraception & Reproductive Health Care : the Official Journal of the European Society of Contraception·Joshua RubensteinRudiger Pittrof
Dec 18, 2013·The European Journal of Contraception & Reproductive Health Care : the Official Journal of the European Society of Contraception·Anna Maria TeunissenFrans J M E Roumen
Dec 28, 2011·The European Journal of Contraception & Reproductive Health Care : the Official Journal of the European Society of Contraception·Mary ShortPirjo Inki
Apr 12, 2011·Contraception·James Trussell
Apr 12, 2011·Contraception·Petra M CaseyJessica E Bury
Mar 15, 2011·Contraception·Cristina A F GuazzelliFabio Fernando de Araujo
Aug 14, 2010·Contraception·Cristina Ap F GuazzelliFabio Fernando de Araujo
Jan 22, 2015·The Journal of Family Planning and Reproductive Health Care·Kumiyo InoueJuliet Richters
Sep 9, 2015·Obstetrics and Gynecology·Margaret AbrahamJeffrey F Peipert
Sep 29, 2011·American Journal of Obstetrics and Gynecology·Sally B Rose, Beverley A Lawton
May 28, 2013·The American Journal of Cardiology·Antonia Pijuan-DomènechJaume Casaldàliga-Ferrer
Apr 13, 2017·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Sarika GuptaKirsten Black
Mar 5, 2016·The Journal of Family Planning and Reproductive Health Care·Kumiyo InoueJuliet Richters
Jun 30, 2018·BMJ Sexual & Reproductive Health·Mirette M AzizOmaima Elgibaly
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May 26, 2018·International Journal of Reproductive Medicine·Mengstu Melkamu AsayeWorku Mequannt Ambaw
Sep 24, 2019·The European Journal of Contraception & Reproductive Health Care : the Official Journal of the European Society of Contraception·Andrea M PetersonAngela Dempsey
Jan 4, 2021·Journal of Pediatric and Adolescent Gynecology·Nichole TysonDebbie Postlethwaite
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