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Implanon

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https://www.readbyqxmd.com/read/29310336/removal-of-a-subdermal-contraceptive-implant-implanon-nxt-that-migrated-to-the-axilla-by-c-arm-guidance-a-case-report-and-review-of-the-literature
#1
Ji Ung Park, Han Sol Bae, Seung Mi Lee, Jaehoon Bae, Jeong Woo Park
RATIONALE: To report the distant migration of a subdermal contraceptive implant and to suggest that C arm-guided technique is one of the feasible options for removal of the device migrated to the axilla. PATIENT CONCERNS: A 41-year-old multipara with tingling sensation in the left axilla was referred for removal of an Implanon NXT which could not be palpated by physical examination or detected by ultrasound scanning. Finally, the device was detected by computed tomography and found migrating to the left axilla...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29234726/determinant-of-implanon-discontinuation-among-women-who-ever-used-implanon-in-diguna-fango-district-wolayita-zone-southern-ethiopia-a-community-based-case-control-study
#2
Amanuel Tadesse, Mekides Kondale, Eskzyiaw Agedew, Feleke Gebremeskel, Negussie Boti, Bilcha Oumer
Background: A significant number of women make Implanon their first choice of contraception. However, they discontinue their Implanon before its expiry date was high, but factors that contribute to discontinuing their Implanon were poorly described in Ethiopia. Methods: A community based unmatched case control study was conducted. Then simple random sampling technique was used to select 340 women. Data was collected by nurses using face to face interview. Epi-Info version 7 and SPSS 20 software were used...
2017: International Journal of Reproductive Medicine
https://www.readbyqxmd.com/read/29229650/improving-contraceptive-access-use-and-method-mix-by-task-sharing-implanon-insertion-to-frontline-health-workers-the-experience-of-the-integrated-family-health-program-in-ethiopia
#3
Yewondwossen Tilahun, Candace Lew, Bekele Belayihun, Kidest Lulu Hagos, Mengistu Asnake
In 2009, the Ethiopian Federal Ministry of Health launched an Implanon scale-up program with the goal of improving the availability of long-acting reversible contraceptive (LARC) methods at the community level. The Integrated Family Health Program (IFHP) supported the ministry to train Health Extension Workers (HEWs), a cadre of frontline health workers, on Implanon insertion. Prior to this task-sharing initiative, HEWs were only permitted to provide short-acting contraceptive methods; Implanon insertion services were only available at higher-level health facilities, such as health centers and above...
December 8, 2017: Global Health, Science and Practice
https://www.readbyqxmd.com/read/29114263/the-current-status-and-factors-associated-with-implanon-service-provision-by-the-health-extension-workers-at-the-health-post-level-wolaita-zone-southern-ethiopia-a-cross-sectional-study
#4
Ketsela Desalegn, Eskindir Loha, Mengistu Meskele
Objective: Family Planning is often taken as one of the "Magic Bullet" interventions owing to its high impact and wide reaching nature in achieving multiple goals. This study aimed to assess the current status and the factors associated with health post level Implanon service provision through trained health extension workers in Wolaita zone, southern Ethiopia. Materials and methods: A cross sectional study was conducted among trained health extension workers in Wolaita zone in February 2013. A simple random sampling technique was used to identify a total of 285 trained HEWs...
March 2017: Journal of Family & Reproductive Health
https://www.readbyqxmd.com/read/29030157/bits-and-pieces-a-crowd-sourced-series-of-54-cases-of-fractured-hormonal-implants
#5
Bonnie C Crouthamel, Melissa A Schiff, Anne-Marie E Amies Oelschlager, Sarah W Prager, Katherine E Debiec
STUDY OBJECTIVE: The fracture of hormonal implants, including Implanon, Nexplanon, and histrelin acetate is rare. Our aim was to describe patient demographics, mechanisms, and consequences of fractured implants by surveying physicians' experience via listservs and social media. DESIGN: We developed a REDCap survey for physicians regarding their experience with implant fracture, including patient characteristics, mechanism of fracture, changes in menstrual bleeding patterns, time from insertion to fracture, and time from fracture to seeking care...
October 10, 2017: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/28828592/drug-delivery-for-the-treatment-of-endometriosis-and-uterine-fibroids
#6
REVIEW
David R Friend
Endometriosis and uterine fibroids (also known as uterine leiomyomas) are serious medical conditions affecting large numbers of women worldwide. Many women are asymptomatic but those with symptoms require medical intervention to relieve chronic pain and dysmenorrhea and to address infertility. Drug delivery has played a role in reducing some of the symptoms associated with endometriosis and uterine fibroids. Use of drug delivery systems for both conditions can roughly be divided into two categories: (1) existing systems designed for other indications such as contraception for symptomatic relief and (2) development of novel systems aimed at addressing some of the underlying biochemical changes associated with endometriosis and uterine fibroids such as oxidative stress, angiogenesis, and matrix degradation...
December 2017: Drug Delivery and Translational Research
https://www.readbyqxmd.com/read/28521837/prevalence-and-predictors-of-implanon-utilization-among-women-of-reproductive-age-group-in-tigray-region-northern-ethiopia
#7
Desta Gebre-Egziabher, Araya Abrha Medhanyie, Mussie Alemayehu, Fisaha Haile Tesfay
BACKGROUND: The Ethiopian Federal Ministry of Health introduced provision of the contraceptive Implanon at community level by trained health extension workers in 2009. However, little is known regarding the utilization and factors associated with Implanon use among rural women since the introduction of the community based intervention. Thus, this study assessed the utilization of Implanon and associated factors among reproductive aged women in rural areas of Saesie-Tsaeda Emba and Ofla districts in Tigray, Northern Ethiopia...
May 18, 2017: Reproductive Health
https://www.readbyqxmd.com/read/28260268/implanon-nxt-expert-tips-for-best-practice-insertion-and-removal
#8
Suzanne Pearson, Mary Stewart, Deborah Bateson
BACKGROUND: The single rod etonogestrel contraceptive implant is available in Australia as Implanon NXT. It is a highly effective, long-acting reversible contraceptive method, which is suitable for most women across the reproductive lifespan. OBJECTIVE: This article provides practical advice for clinicians who already insert and remove the contraceptive implant, as well as advice for those who have not yet acquired this procedural skill. DISCUSSION: Contraceptive implant procedures are usually performed in the general practice setting...
March 2017: Australian Family Physician
https://www.readbyqxmd.com/read/28159123/who-uses-long-acting-reversible-contraception-profile-of-larc-users-in-the-cupid-cohort
#9
Jacqueline Coombe, Melissa L Harris, Deborah Loxton
OBJECTIVE: To explore the characteristics of long-acting reversible contraception (LARC) users in a nationally representative cohort of young Australian women aged 18-23. METHODS: Data from 3155 women who responded to a question about their contraceptive use in the previous six months at the baseline Contraceptive Use, Pregnancy Intention and Decisions (CUPID) survey were included. RESULTS: 726 (19.1%) women reported LARC use, with the Implanon being the most popular method (n = 478; 65...
March 2017: Sexual & Reproductive Healthcare: Official Journal of the Swedish Association of Midwives
https://www.readbyqxmd.com/read/28108504/youtube-and-the-single-rod-contraceptive-implant-a-content-analysis
#10
Jennifer Paul, Christy M Boraas, Mildred Duvet, Judy C Chang
BACKGROUND: Since the internet has become an important source of contraceptive information with YouTube.com as the second most visited site, we analysed contraceptive implant YouTube videos for content and clinical accuracy. METHODS: Using the terms 'contraceptive implant', 'Nexplanon' and 'Implanon', the top 20 results on YouTube by relevance and view count were identified. After excluding duplicates, single-rod implant videos in English were included. Videos were classified as providing a professional or patient perspective...
January 20, 2017: Journal of Family Planning and Reproductive Health Care
https://www.readbyqxmd.com/read/27979874/pilot-research-as-advocacy-the-case-of-sayana-press-in-kinshasa-democratic-republic-of-the-congo
#11
Arsene Binanga, Jane T Bertrand
In the Democratic Republic of the Congo (DRC), the Ministry of Health authorizes only physicians and nurses to give injections, with one exception-medical and nursing students may also give injections if supervised by a clinical instructor. The emergence of the injectable contraceptive Sayana Press in some African countries prompted the DRC to test the acceptability and feasibility of distributing Sayana Press and other contraceptive methods at the community level through medical and nursing students. Sayana Press is similar in formulation to the injectable contraceptive Depo-Provera but contains a lower dose and is administered subcutaneously using a single-use syringe with a short needle called the Uniject system...
December 23, 2016: Global Health, Science and Practice
https://www.readbyqxmd.com/read/27965269/safety-and-efficacy-of-the-subdermal-etonogestrel-contraceptive-implant-implanon%C3%A2
#12
Rob Beerthuizen
No abstract text is available yet for this article.
December 13, 2016: Journal of Family Planning and Reproductive Health Care
https://www.readbyqxmd.com/read/27908964/effects-of-the-etonogestrel-contraceptive-implant-implanon%C3%A2-on-bone-metabolism-during-lactation-a-prospective-study
#13
Candan Iltemir Duvan, Yuksel Onaran, Esra Aktepe Keskin, Ebru Yüce, Burcu Yanık, Hasan Kafali, Nilgun Ozturk Turhan
AIM: To evaluate the effects of the etonogestrel contraceptive implant (Implanon(®)) on bone metabolism in lactating women using markers for bone formation and resorption. STUDY DESIGN: This single-centre, prospective cohort study was conducted in Turgut Ozal University Medical Faculty Obstetrics and Gynecology Department with healthy lactating women aged between 24 and 38 years to compare the effect on bone metabolism of 6 months' use of either the implant or a non-hormonal contraceptive method...
December 1, 2016: Journal of Family Planning and Reproductive Health Care
https://www.readbyqxmd.com/read/27833514/haematological-and-biochemical-effects-of-etonogestrel-subdermal-implant-implanon-in-ilorin-nigeria
#14
Olayinka R Balogun, Abiodun S Adeniran, Adebayo A Adewole
OBJECTIVES: To evaluate the effect of etonogestrel subdermal implant (Implanon) on haematological and biochemical parameters of its users. METHODOLOGY: A prospective observational study among healthy women using Implanon for contraception. The study site was the family planning clinic of the University of Ilorin Teaching Hospital, Ilorin, Nigeria. Informed consent was obtained and participants were followed up for three years. Follow up parameters were haematological and biochemical evaluation at insertion (baseline), first and third years post-insertion...
October 2016: International Journal of Health Sciences
https://www.readbyqxmd.com/read/27695725/patients-perspectives-about-why-they-have-their-contraceptive-implanon-nxt-device-removed-early
#15
Meike Flore, Xiaoshuang Lilly Chen, Andrew Bonney, Judy Mullan, Bridget Dijkmans-Hadley, Adam Hodgkins, Gina Evans, Haley Frew, Gail Lloyd
BACKGROUND: Women with long-acting, reversible contraceptive devices inserted may choose to remove them prior to their planned expiry dates. OBJECTIVE: The objective of this study was to explore Australian women's experiences with the etonogestrel subdermal contraceptive implant (Implanon NXT) and why they had it removed early. METHODS: Semi-structured interviews were conducted with 18 women between June 2013 and January 2014. Transcriptions of the audio-taped interviews were analysed using a constant comparative analysis framework...
October 2016: Australian Family Physician
https://www.readbyqxmd.com/read/27615386/pharmacologic-treatment-of-the-ovarian-endometrioma
#16
REVIEW
Giuseppe Benagiano, Sun-Wei Guo, Paola Bianchi, Patrick Puttemans, Stephan Gordts, Felice Petraglia, Ivo Brosens
INTRODUCTION: Treatment of ovarian endometriomas is commonly achieved through laparoscopic surgery and this can be effective in eliminating the disease, although a majority of recent trials documented an adverse effect of surgery on ovarian reserve markers. With the advancement in imaging techniques, ovarian endometriomas are increasingly diagnosed at an earlier stage when the endometrioma may be smaller, less fibrotic and more responsive to medical treatment, making an evaluation of medical options critically important...
October 2016: Expert Opinion on Pharmacotherapy
https://www.readbyqxmd.com/read/27549429/retrospective-analysis-of-the-impact-of-increasing-access-to-long-acting-reversible-contraceptives-in-a-commercially-insured-population
#17
Amy Law, Dominic Pilon, Richard Lynen, François Laliberté, Laurence Gozalo, Patrick Lefebvre, Mei Sheng Duh
BACKGROUND: Unintended pregnancies have been shown to be associated with high costs for the healthcare system, among other adverse impacts, but could still account for up to 51 % of pregnancies in the US. Improvements in contraception among women are needed. Long acting reversible contraceptives (LARCs), which have proved their safety and efficacy, have been found to significantly decrease the risk of unintended pregnancy. Yet they are still marginally employed. This study aims at investigating the evolution of LARC use over 15 years and at assessing the impact of the introduction of newer LARCs on LARC use relative to all contraceptive use...
August 22, 2016: Reproductive Health
https://www.readbyqxmd.com/read/27172400/declining-rates-of-sterilization-procedures-in-western-australian-women-from-1990-to-2008-the-relationship-with-age-hospital-type-and-government-policy-changes
#18
Khadra A Jama-Alol, Alexandra P Bremner, Louise M Stewart, Anna Kemp-Casey, Eva Malacova, Rachael Moorin, Adeleh Shirangi, David B Preen
OBJECTIVE: To describe trends in age-specific incidence rates of female sterilization (FS) procedures in Western Australia and to evaluate the effects of the introduction of government-subsidized contraceptive methods and the implementation of the Australian government's baby bonus policy on FS rates. DESIGN: Population-based retrospective descriptive study. SETTING: Not applicable. PATIENT(S): All women ages 15-49 undergoing an FS procedure during the period January 1, 1990, to December 31, 2008 (n = 47,360 procedures)...
September 1, 2016: Fertility and Sterility
https://www.readbyqxmd.com/read/27125380/-safety-profile-of-etonogestrel-contraceptive-implant-nexplanon-%C3%A2-and-implanon-%C3%A2-reported-in-france
#19
C Simon, M S Agier, J Béné, C Muller, L Vrignaud, H Marret, A P Jonville-Bera
OBJECTIVES: The aim of the study was to assess the incidence of adverse effects (AE) reported with etonogestrel contraceptive implant in France (Implanon(®) and Nexplanon(®)). MATERIALS AND METHODS: All cases of AE or unintended pregnancies reported to health authorities or to the firm were analyzed. RESULTS: During 10 years, 5433 AE and 789 unintended pregnancies were reported. Only 388 (7 %) were serious. There were 1137 reports of difficulties to remove, failure to locate or migration, 430 of insertion difficulties and 203 of deformation or expulsion of the implant...
November 2016: Journal de Gynécologie, Obstétrique et Biologie de la Reproduction
https://www.readbyqxmd.com/read/26898737/the-production-of-solid-dosage-forms-from-non-degradable-polymers
#20
Ian Major, Evert Fuenmayor, Christopher McConville
Non-degradable polymers have an important function in medicine. Solid dosage forms for longer term implantation require to be constructed from materials that will not degrade or erode over time and also offer the utmost biocompatibility and biostability. This review details the three most important non-degradable polymers for the production of solid dosage forms - silicone elastomer, ethylene vinyl acetate and thermoplastic polyurethane. The hydrophobic, thermoset silicone elastomer is utilised in the production of a broad range of devices, from urinary catheter tubing for the prevention of biofilm to intravaginal rings used to prevent HIV transmission...
2016: Current Pharmaceutical Design
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