Abstract

CALIXTO-MORALES, Diana Patricia; OSPINA-DIAZ, Juan Manuel  and  MANRIQUE-ABRIL, Fred Gustavo. Early retirement of the subdermal implant with etonogestrel in users of a program of birth control from Tunja - Boyaca, Colombia. Univ. Salud [online]. 2015, vol.17, n.2, pp.224-232. ISSN 0124-7107.

Introduction: Subdermal implants provide high reversible contraceptive effectiveness; however, some side effects occur with their use. It has been shown that some women are less tolerant to them so they ask for an early retirement. Objective: To assess factors related to the removal of the subdermal implant Implanon® in women who are users of the ambulatory family planning program of a health institution located in Tunja. Materials and methods: An observational, analytical cross-sectional study was made where the medical histories of 184 users who requested the removal of the implant between 2009 and 2012 were reviewed. The reasons given by patients to request the removal of the subdermal implant were registered, excluding the desire for a new pregnancy and the time use. Results: It was found that the average age was of 27,8 years; the minimum time of use was 2 months with average of 2,7 years (SD = 1,7). The main reason to request the procedure was due to the changes in their period (74,5%), followed by headache (71,7%), changes in mood (57,6%), pelvic pain (57,1%) and pain of venous origin (42,9%). Most effects occur at the beginning of the inclusion and tend to disappear in the course of the first months, except for the headache and weight changes. Conclusions: The subdermal implant is a highly effective method of birth control. It is recommended to make effective health education interventions prior to insertion.

Keywords : Birth control; contraceptives; adaptability; progesterone congeners.

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