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'I think it depends on the body, with mine it didn't work': explaining young women's contraceptive implant removal.

Hoggart, Lesley; Newton, Victoria Louise and Dickson, Jane (2013). 'I think it depends on the body, with mine it didn't work': explaining young women's contraceptive implant removal. Contraception, 88(5) pp. 636–640.

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DOI (Digital Object Identifier) Link: https://doi.org/10.1016/j.contraception.2013.05.014
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Abstract

Background: Our study was conducted to learn more about why some young women (under 24) request “early” removal of the subdermal contraceptive implant (implant).
Study Design: A qualitative study in which 20 young women were interviewed in-depth, along with nine health providers of the implant. This paper concentrates on the findings from the interviews with young women.
Results: Overwhelmingly, the reason given for removal was intolerable side effects, the most common being bleeding irregularities. Other hormonal side effects mentioned were mood swings, headaches and weight gain; and it was often a combination of factors that brought participants to a “tipping point” at which their negative experiences outweighed the positive attributes of the implant. Many participants felt
that they had not been sufficiently warned about all possible side effects, and some were frustrated by delays encountered after they requested removal.
Conclusion: Women need to be made aware of all possible side effects and be given more support once the implant is in place. In supporting women's contraceptive choice, clinicians need to accept that some women are unable to tolerate the implant and that encouraging retention without dealing with distressing side effects may be counterproductive.

Item Type: Journal Item
Copyright Holders: 2013 Elsevier Inc.
ISSN: 0010-7824
Project Funding Details:
Funded Project NameProject IDFunding Body
Pan-London research on understanding LARC adherence amongst young womenNot SetLondon Sexual Health Programme
Keywords: Implanon; Nexplanon; LARC; hormonal contraception; subdermal contraceptive implant; contraceptive discontinuation
Academic Unit/School: Faculty of Wellbeing, Education and Language Studies (WELS) > Health, Wellbeing and Social Care > Health and Social Care
Faculty of Wellbeing, Education and Language Studies (WELS) > Health, Wellbeing and Social Care
Faculty of Wellbeing, Education and Language Studies (WELS)
Item ID: 38876
Depositing User: Lesley Hoggart
Date Deposited: 31 Oct 2013 13:40
Last Modified: 08 Dec 2018 15:16
URI: http://oro.open.ac.uk/id/eprint/38876
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