Levonorgestrel contraceptive implants in female patients 14 to 21 years old

Mayo Clinic Proceedings
V J SumanA L Manolis

Abstract

To determine which factors are associated with duration of use of a levonorgestrel implant (Norplant) for contraception in adolescents and young adults. We retrospectively studied 144 young women (14 to 21 years of age) who chose a levonorgestrel contraceptive implant at Mayo Clinic Rochester between April 1990 and December 1993. The following information was obtained at the time of insertion of the implant and from any follow-up visits: demographics, prior contraceptive experiences, frequency and management of complications, complications noted at removal of the implant, and subsequent contraceptive choice. The duration of use was examined. Of the 144 young women who underwent insertion of a Norplant system, 75 telephoned or made a medical appointment because of implant-related side effects. During the follow-up period, 64 patients had the Norplant system removed. The Kaplan-Meier estimate of the probability of the Norplant system remaining in place for at least 12 months was 83 % and for at least 24 months was 63 %. Duration of Norplant use was not found to differ with respect to age, prior contraceptive use, or timing of insertion, but it was significantly shorter among those with a prior pregnancy than in those who had neve...Continue Reading

References

Oct 1, 1992·Advances in Contraception : the Official Journal of the Society for the Advancement of Contraception·P J Hillard
Nov 1, 1989·Journal of Adolescent Health Care : Official Publication of the Society for Adolescent Medicine·M L Balassone
Aug 1, 1982·American Journal of Public Health·E W FreemanG R Huggins
Nov 3, 1994·The New England Journal of Medicine·M PolaneczkyS Sondheimer
Feb 1, 1993·Contraception·V E CullinsG R Huggins

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Citations

May 10, 2000·Contraception·S GlantzE Schaff
Nov 13, 2001·Journal of Advanced Nursing·S M Simpson
Nov 9, 2004·The Journal of Family Planning and Reproductive Health Care·UNKNOWN Faculty of Family Planning and Reproductive Health Care Clinical Effectiveness Unit
Jul 30, 2020·Best Practice & Research. Clinical Obstetrics & Gynaecology·Lindsay R StandevenLauren M Osborne

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