PMID- 18330815 OWN - NLM STAT- MEDLINE DCOM- 20080828 LR - 20220408 IS - 1362-5187 (Print) IS - 1362-5187 (Linking) VI - 13 Suppl 1 DP - 2008 Jun TI - Tolerability and clinical safety of Implanon. PG - 29-36 LID - 10.1080/13625180801960012 [doi] AB - OBJECTIVES: To evaluate the tolerability and clinical safety of the subdermal, long-acting hormonal contraceptive Implanon. METHODS: This integrated safety analysis included 11 international studies concerning Implanon (68 mg etonogestrel) of which 10 had a duration of at least two years. Assessments included reports of adverse events (AEs), reasons and rates of discontinuation, insertion/removal complications, and the condition of the implant site. Metabolic and coagulation parameters are briefly discussed to fully describe the clinical safety profile. RESULTS: In total 942 women were exposed to Implanon for 24,679 cycles over the course of one to five years. The overall discontinuation rate was 32.7%; the most frequently reported reasons for discontinuation were adverse events (13.9%), bleeding irregularities (10.4%), and planning pregnancy (4.1%). The most commonly reported drug-related AE was headache (15.3%); however, headache was reported in only 1.6% of women as a reason for discontinuation. Insertion and removal times for Implanon were short with few complications, none of which were major. From earlier studies it is known that treatment with Implanon has little effect on metabolic and coagulation parameters. CONCLUSIONS: Implanon is a well-tolerated and safe method of long-acting hormonal contraception for women. FAU - Blumenthal, Paul D AU - Blumenthal PD AD - Family Planning Services and Research, Department of Obstetrics and Gynecology, Stanford University, Stanford, CA, USA. pblumen@stanford.edu FAU - Gemzell-Danielsson, Kristina AU - Gemzell-Danielsson K FAU - Marintcheva-Petrova, Maya AU - Marintcheva-Petrova M LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PL - England TA - Eur J Contracept Reprod Health Care JT - The European journal of contraception & reproductive health care : the official journal of the European Society of Contraception JID - 9712127 RN - 0 (Contraceptive Agents, Female) RN - 304GTH6RNH (etonogestrel) RN - 81K9V7M3A3 (Desogestrel) SB - IM MH - Adult MH - Clinical Trials as Topic MH - Contraceptive Agents, Female/*adverse effects/therapeutic use MH - Desogestrel/*adverse effects/therapeutic use MH - Female MH - Humans MH - Menstruation Disturbances/chemically induced MH - Middle Aged RF - 25 EDAT- 2008/08/09 09:00 MHDA- 2008/08/30 09:00 CRDT- 2008/08/09 09:00 PHST- 2008/08/09 09:00 [pubmed] PHST- 2008/08/30 09:00 [medline] PHST- 2008/08/09 09:00 [entrez] AID - 791365724 [pii] AID - 10.1080/13625180801960012 [doi] PST - ppublish SO - Eur J Contracept Reprod Health Care. 2008 Jun;13 Suppl 1:29-36. doi: 10.1080/13625180801960012.