Rise of Discontinuation of the Subdermal Contraceptive: A Randomized Cross Sectional Study in Korangi

  • Haniyah Qamar Assistant professor of Obstetrics and Gynaecology United Medical and Dental College, Karachi.
  • Rozina Mustafa Professor of Obstetrics and Gynaecology United Medical and Dental College, Karachi
Keywords: Contraceptive implant, bAnormal uterine bleeding, weight gain


Objective: To assess and determine discontinuation reason for the subdermal contraceptive implants before the completion of the duration of implant in the females.
Methodology: This is a randomized cross sectional study conducted from June 2016 to June 2018 conducted in Creek General Hospital and population welfare center. 300 subjects were randomly interviewed arriving in the outpatient department; out of which 170 subjects were enrolled for the study as per the informed consent they signed. All women age (18 to 45 years), wishing to discontinue the embedded subdermal contraceptive implant in their body before completion of its period were taken into account in this study. The reasons for their discontinuation was assessed through Performa’s with a relevant question related to the withdrawal of the implant.  
Results: Abnormal uterine bleeding’s relative frequency (34 %) was highest among the other causes to discontinue the usage of the contraceptive implant. However, the result showed significant evidence that after a year  85 % of young aged females, mostly aged 25 to 30 years (42%) started to develop side effects that with time became intolerable.
Conclusion: The discontinuation of subdermal contraceptive implants due to known side effects is already evident from the other studies but this study clearly indicates that there was lack of awareness among the people in dealing with some minor side effects because as per other studies these side effects temporarily reside and vanishes after its removal.

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