Safety and Benefits of Contraceptives Implants: A Systematic Review

Progestin-only contraceptive implants provide long-acting, highly effective reversible contraception. We searched the medical publications in PubMed, CENTRAL, and EMBASE for relevant articles on hormonal implants published in English between 1990 and 2021. Levonorgestrel (LNG) 6-capsule subdermal im...

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Main Authors: Morena Luigia Rocca, Anna Rita Palumbo, Federica Visconti, Costantino Di Carlo
Format: Article
Language:English
Published: MDPI AG 2021-06-01
Series:Pharmaceuticals
Subjects:
Online Access:https://www.mdpi.com/1424-8247/14/6/548
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author Morena Luigia Rocca
Anna Rita Palumbo
Federica Visconti
Costantino Di Carlo
author_facet Morena Luigia Rocca
Anna Rita Palumbo
Federica Visconti
Costantino Di Carlo
author_sort Morena Luigia Rocca
collection DOAJ
description Progestin-only contraceptive implants provide long-acting, highly effective reversible contraception. We searched the medical publications in PubMed, CENTRAL, and EMBASE for relevant articles on hormonal implants published in English between 1990 and 2021. Levonorgestrel (LNG) 6-capsule subdermal implants represented the first effective system approved for reversible contraception. The etonogestrel (ENG) single rod dispositive has been widely employed in clinical practice, since it is a highly effective and safe contraceptive method. Abnormal menstrual bleeding is a common ENG side effect, representing the main reason for its premature discontinuation. Emerging evidence demonstrated that it is possible to extend the use of the ENG implant beyond the three-year period for which it is approved. The ENG implant could be an effective and discrete alternative to the IUD in young girls, such as post-partum/post-abortion. Implants should be inserted by trained skilled clinicians who previously provide adequate counselling about their contraceptive effect, benefits, and any possible adverse events. More studies are needed to validate the extended use of the ENG implant for up to 5 years.
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spelling doaj.art-fbe90111b7ee48f68f73cc8836bbc5302023-11-21T23:13:45ZengMDPI AGPharmaceuticals1424-82472021-06-0114654810.3390/ph14060548Safety and Benefits of Contraceptives Implants: A Systematic ReviewMorena Luigia Rocca0Anna Rita Palumbo1Federica Visconti2Costantino Di Carlo3Operative Unit of Obstetric and Gynaecology, Pugliese-Ciaccio Hospital, 88100 Catanzaro, ItalyDepartment of Obstetrics and Gynaecology, “Magna Graecia” University, 88100 Catanzaro, ItalyDepartment of Obstetrics and Gynaecology, “Magna Graecia” University, 88100 Catanzaro, ItalyDepartment of Obstetrics and Gynaecology, “Magna Graecia” University, 88100 Catanzaro, ItalyProgestin-only contraceptive implants provide long-acting, highly effective reversible contraception. We searched the medical publications in PubMed, CENTRAL, and EMBASE for relevant articles on hormonal implants published in English between 1990 and 2021. Levonorgestrel (LNG) 6-capsule subdermal implants represented the first effective system approved for reversible contraception. The etonogestrel (ENG) single rod dispositive has been widely employed in clinical practice, since it is a highly effective and safe contraceptive method. Abnormal menstrual bleeding is a common ENG side effect, representing the main reason for its premature discontinuation. Emerging evidence demonstrated that it is possible to extend the use of the ENG implant beyond the three-year period for which it is approved. The ENG implant could be an effective and discrete alternative to the IUD in young girls, such as post-partum/post-abortion. Implants should be inserted by trained skilled clinicians who previously provide adequate counselling about their contraceptive effect, benefits, and any possible adverse events. More studies are needed to validate the extended use of the ENG implant for up to 5 years.https://www.mdpi.com/1424-8247/14/6/548contraceptionetonogestrelimplanonLARClevonorgestrelnexplanon
spellingShingle Morena Luigia Rocca
Anna Rita Palumbo
Federica Visconti
Costantino Di Carlo
Safety and Benefits of Contraceptives Implants: A Systematic Review
Pharmaceuticals
contraception
etonogestrel
implanon
LARC
levonorgestrel
nexplanon
title Safety and Benefits of Contraceptives Implants: A Systematic Review
title_full Safety and Benefits of Contraceptives Implants: A Systematic Review
title_fullStr Safety and Benefits of Contraceptives Implants: A Systematic Review
title_full_unstemmed Safety and Benefits of Contraceptives Implants: A Systematic Review
title_short Safety and Benefits of Contraceptives Implants: A Systematic Review
title_sort safety and benefits of contraceptives implants a systematic review
topic contraception
etonogestrel
implanon
LARC
levonorgestrel
nexplanon
url https://www.mdpi.com/1424-8247/14/6/548
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