OPTIMIZING IMPLANON USE IN PAKISTAN: A CROSS-SECTIONAL STUDY ON USER SATISFACTION AND DISCONTINUATION FACTORS

Qudsia bano; Iffat Naiyer; Yasmin fatima; Sundas Khurshid; Asma Muddasir; Jawairiah Liaquat

Qudsia bano Consultant Gynecologist, Gynecology and Obstetrics, THQ Hospital Kharian.
Iffat Naiyer Associate professor, Community medicine department, CMH Medical Kharian
Yasmin fatima Assistant Professor, Gynecology and Obstetrics, CMH Medical college.
Sundas Khurshid Senior lecturer, pathology department, CMH medical college Kharian
Asma Muddasir Assistant Professor Gynecology and Obstetrics CMH Medical college, Kharian Cantt
Jawairiah Liaquat Assistant Professor Islam medical college, Sialkot

Abstract

Background: Subdermal long-acting reversible implant is an easy method of contraception because of ease of use and comparatively lesser side effects.

Objective: The objective of this study was to assess the level of satisfaction and the reasons of removal following Implanon contraceptive implant.

Methodology: 345 women fulfilling the inclusion criteria were taken. Demographic details including age, educational status, working status and parity were obtained from each participant. Women were asked about the duration of Implanon implant and satisfaction level from the implant. Reason of removal was also noted. Frequency and percentages were calculated for categorical variables. Bar chart was used for graphic illustration of the satisfaction level in women.

Results: The most common reasons for Implanon removal were menstrual irregularity (48.4%), followed by amenorrhea (9.6%), weight gain (7.2%), and breast pain (7.8%). Other reasons included acne, complications with insertion, edema, and mood swings. As per satisfaction Levels, among the 345 respondents, 110 (31.9%) reported being very satisfied, while 106 (30.7%) were somewhat satisfied, 41 individuals (11.9%) expressed a neutral stance, on the other hand, 76 respondents (22.0%) felt somewhat dissatisfied, and only 12 (3.5%) were very dissatisfied, overall, this survey captured a diverse range of satisfaction levels.

Conclusion: Majority of the recipient of Implanon implant device were satisfied with this contraceptive method. However, a number of side effects have been observed causing early removal of the implant. The most common side effect was menstrual irregularity followed by amenorrhea, weight gain, breast tenderness, and acne.

Keywords: Contraception, implant, Implanon, satisfaction, early removal.