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Menstrual bleeding patterns in adolescents using etonogestrel (ENG) implant

  • Amit M. Deokar , Wendy Jackson and Hatim A. Omar EMAIL logo
Published/Copyright: March 9, 2011
International Journal of Adolescent Medicine and Health
From the journal Volume 23 Issue 1

Abstract

Background: Etonogestrel (ENG) implant is an effective method of contraception. The implant is designed to provide contraceptive efficacy for 3 years with a relatively quick return of fertility upon its removal. Menstrual irregularities are not uncommon on long-acting progestins and can often be the factor for discontinuation or removal. A retrospective chart analysis was done on 58 patients who chose to be on the ENG implant. Age ranged from 12 to 24 years. The cycle ranged from 1 to 17 months. The mean length of use of the implant was 10.9 months. Over the 20-month period, 13 ENG implants were removed because of menstrual bleeding problems.

Method: We conducted a chart review of the adolescent patients who received the ENG implant in our adolescent clinic. An analysis was done based on symptoms experienced by patients who were on the ENG implant and their management, which in some cases resulted in its removal.

Setting: The data is presented on adolescent and young adult patients who receive their reproductive care in the Adolescent Medicine Clinic at the University of Kentucky, Lexington, KY, USA.

Conclusions: ENG implant when used correctly and as indicated is extremely effective in providing contraception for up to 3 years. However, menstrual irregularities can be very troublesome and often a reason for its removal. In our experience, 22.4% (13 out of the 58 subjects) had menstrual problems post-insertion that led to its removal. It is crucial for a clinician to inform and be informed about such side effects.

Keywords: adolescents; contraceptives; depot medroxyprogesterone acetate; doxycycline; ethinyl estradiol; etonogestrel (ENG); mifepristone; progesterone/progestin
Corresponding author: Professor Hatim A. Omar, MD, FAAP, Director of Adolescent Medicine and Young Parent Programs, J422 Kentucky Clinic, Department of Pediatrics, Kentucky Children's Hospital, University of Kentucky College of Medicine, Lexington, KY 40536, USA Phone: +1-859-323-6426 ext. 311, Fax: +1-859-257-7706
Received: 2010-7-20
Revised: 2010-8-25
Accepted: 2010-9-8
Published Online: 2011-03-09
Published Online: 2011-3-1
Published in Print: 2011-3-1

©2011 by Walter de Gruyter Berlin New York

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https://doi.org/10.1515/ijamh.2011.013
Keywords for this article
adolescents; contraceptives; depot medroxyprogesterone acetate; doxycycline; ethinyl estradiol; etonogestrel (ENG); mifepristone; progesterone/progestin

Articles in the same Issue

  1. Editorial
  2. Infectious disease, child care and school
  3. Original Articles
  4. Sport participation during adolescence and suicide ideation and attempts
  5. Bullying in middle school: results from a 2008 survey
  6. Child health and maternal stress: does neighbourhood status matter?
  7. Drawing the line in the Edinburgh Postnatal Depression Scale (EPDS): a vital decision
  8. Alcohol use, related problems and psychological health in college students
  9. Cross-cultural validity of the scale for interpersonal behavior
  10. Level of training of nursing staff and the autonomy given to psychiatric inpatients: a multicenter study
  11. Correlates of identity statuses among Chinese adolescents in Hong Kong
  12. A pilot study: pain, fatigue and stress in maternal relatives of adolescent female psychiatric inpatients assessed for juvenile primary fibromyalgia syndrome
  13. Text messaging: one step forward for phone companies, one leap backward for adolescence
  14. Case Report/Short Communications
  15. Iron deficiency anemia presenting as pancytopenia in an adolescent girl
  16. Menstrual bleeding patterns in adolescents using etonogestrel (ENG) implant
  17. Trends and Milestones
  18. Residential care centers for persons with intellectual disability in Israel. Trends in the number of children 1999–2008
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