Oral Presentation

Vaginal bleeding irregularities and its perception among implanon users

Nur Idayu Ahmad Ruslan (MY), Muhammad Azrai Abu (MY), Norzilawati Mohd Naim (MY), Mohd Faizal Ahmad (MY), Shuhaila Ahmad (MY)

[Ahmad Ruslan] Universiti Kebangsaan Malaysia Medical Centre, [Abu] Universiti Kebangsaan Malaysia Medical Centre, [Mohd Naim] Universiti Kebangsaan Malaysia Medical Centre, [Ahmad] Universiti Kebangsaan Malaysia Medical Centre, [Ahmad] Universiti Kebangsaan Malaysia Medical Centre

Objective: To evaluate the vaginal bleeding pattern among patients using Implanon 3 months post insertion, their perception, and acceptance towards Implanon as a contraceptive method. Design: A prospective, cross-sectional study Setting: Family Planning Clinic, Department of Obstetrics and Gynaecology, Universiti Kebangsaan Malaysia Medical Centre (UKMMC). Patient(s): All patients with Implanon inserted 3 months prior in UKMMC from December 2013 till July 2014 which fulfilled the inclusion criteria were included in the study. Intervention(s): None Main Outcome Measure(s): Patients socio-demographic information, socioeconomic status, obstetric history, contraceptive history, perception and acceptance towards Implanon were analyzed. Results: The average age was 32 years old and the majority were Malay (80.8%) and Muslim (84.9%). Mean BMI was 23.6 ± 4.2 kg/m2 and 78.1% were para 2 and above. Most of them came from middle-class income group (71.2%) and all had at least secondary level education. 53.4 % of patients received information on Implanon from medical personnel. 43.8 % chose Implanon because it did not require any compliance and 45.2% felt it was a better contraception compared to their previous method of contraception. Vaginal bleeding patterns observed were amenorrhoea (43.8%), infrequent bleeding (28.8%), frequent bleeding (12.3%) and prolonged bleeding (8.2%). Out of 73 patients, only 17 felt that the bleeding pattern was unacceptable and mostly due to difficulty in performing religious duties (76.5%). Conclusion: Amenorrhea is commonly experienced post 3 months Implanon insertion rather than infrequent or prolonged bleeding without any significant non-menstrual side effect. Hence, it is perceived as a better contraception method and recommended to friends.