TO QUICK START OR NOT TO QUICK START: DOES THIS METHOD INFLUENCE ETONOGESTREL (ENG) IMPLANT PREMATURE REMOVAL RATES AMONG ADOLESCENTS?

Purpose: The Etonogestrel (ENG) implant is the most effective form of contraception, however 20% of users have it removed prematurely because of irregular and unpredictable vaginal bleeding. Adequate counseling of the expected bleeding pattern is important and has been found to impact early removal...

Full description

Saved in:
Bibliographic Details
Published in:Journal of adolescent health 2021-02, Vol.68 (2S), p.S22
Main Authors: Holliday, Alexandria, Menon, Seema, Pickett, Michelle L, Adams, Keisha, Guillot, Mary, Liegl, Melodee Nugent, Simpson, Pippa
Format: Article
Language:English
Subjects:
Adolescent girls
Birth control
Chart reviews
Counseling
Females
Head Start project
Medical treatment
Menstruation
Oral contraceptives
Same day
Sexual behavior
Side effects
Teenagers
Transplants & implants
Vaginal bleeding
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Purpose: The Etonogestrel (ENG) implant is the most effective form of contraception, however 20% of users have it removed prematurely because of irregular and unpredictable vaginal bleeding. Adequate counseling of the expected bleeding pattern is important and has been found to impact early removal rates. Quick Start describes immediately starting a contraceptive method the day of counseling, whereas traditionally, counseling and insertion would occur at two separate visits. The impact of Quick Start on premature removal rates of the implant is limited. The objective of this study is to evaluate whether the Quick Start approach was associated with premature ENG implant removal rates among adolescent females. Methods: A retrospective chart review of females aged 10-18 years who underwent ENG implant placement between July 2011-May 2016. Variables of interest included date of counseling, insertion and removal; reason for removal; sexual activity (prior to insertion); and contraception after removal. The participants were then dichotomized into Quick Start and non-Quick Start. The main outcome was premature ENG removal. Premature removal was defined as removal prior to two months before the expiration date. Data was compared using Fisher's exact test and Mann-Whitney test. A p-value
ISSN:1054-139X
1879-1972