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Subdermal etonogestrel: the effects on menses, general health, religious obligations and sexual relationship

Objective: The aim of this study is to determine the effects of subdermal etonogestrel implant on menstrual pattern, body mass index (BMI), systolic and diastolic blood pressure (SBP and DBP), sexual relationship and religious obligations. Methodology: A descriptive study was conducted at a famil...

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Main Authors: S I, Sharifah A, Abdulwahab, Dalia F, Awang, Mokhtar
Format: Article
Language:English
Published: Kulliyyah (Faculty) of Medicine, International Islamic University Malaysia. 2015
Subjects:
RG Gynecology and obstetrics
Online Access:http://irep.iium.edu.my/50185/1/IMJM-Vol-14-Supp-p11-Dr_Dalia.pdf
http://irep.iium.edu.my/50185/
http://iiumedic.net/imjm/v1/download/volume_14_supplement/IMJM-Vol-14-Supp-p11-S-I-Sharifah-A.pdf
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spelling my.iium.irep.501852017-10-16T03:59:39Z http://irep.iium.edu.my/50185/ Subdermal etonogestrel: the effects on menses, general health, religious obligations and sexual relationship S I, Sharifah A Abdulwahab, Dalia F Awang, Mokhtar RG Gynecology and obstetrics Objective: The aim of this study is to determine the effects of subdermal etonogestrel implant on menstrual pattern, body mass index (BMI), systolic and diastolic blood pressure (SBP and DBP), sexual relationship and religious obligations. Methodology: A descriptive study was conducted at a family planning clinic between 1st January 2010 to 31st December 2011 whereby all the women who had their subdermal etonogestrel removed during this period were included. A selfprepared questionnaire was filled up with the help of a research assistant, which looked into the menstrual cycles prior to and during the implant usage, the non-menstrual adverse events, effect of menses on religious obligations and sexual relationship and the overall acceptability of subdermal etonogestrel as a contraceptive method. Blood pressure (BP) and BMI were recorded at the time of removal, while BP and BMI at insertion were gathered from the case file. Result: 50 patients were recruited in this study. The mean duration of use was 33.8 months (±10.4) and 78% had completed 3 years. The prevalence of menstrual disturbance whilst on subdermal etonogestrel implant was 78%. The mean differences of SBP, DBP and BMI at removal and prior to usage were statistically significant. There was no association between BMI and menstrual pattern whilst on implant. Practicing religious obligations and sexual activity were affected in 14.0% and 18.0% respectively. Overall satisfaction of subdermal implant was 92%. Conclusion: Despite the high prevalence of menstrual disturbance, subdermal etonogestrel is well accepted. Changes in the mean of SBP, DBP and BMI were not clinically significant, but a significant proportion of the studied women had a significant increase in SBP, DBP and BMI. The performing of religious duty and sexual activity seem to be unaffected. Kulliyyah (Faculty) of Medicine, International Islamic University Malaysia. 2015-12 Article REM application/pdf en http://irep.iium.edu.my/50185/1/IMJM-Vol-14-Supp-p11-Dr_Dalia.pdf S I, Sharifah A and Abdulwahab, Dalia F and Awang, Mokhtar (2015) Subdermal etonogestrel: the effects on menses, general health, religious obligations and sexual relationship. The International Medical Journal Malaysia, 14 (Supp.). p. 11. ISSN 1823-4631 http://iiumedic.net/imjm/v1/download/volume_14_supplement/IMJM-Vol-14-Supp-p11-S-I-Sharifah-A.pdf
institution Universiti Islam Antarabangsa Malaysia
building IIUM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider International Islamic University Malaysia
content_source IIUM Repository (IREP)
url_provider http://irep.iium.edu.my/
language English
topic RG Gynecology and obstetrics
spellingShingle RG Gynecology and obstetrics
S I, Sharifah A
Abdulwahab, Dalia F
Awang, Mokhtar
Subdermal etonogestrel: the effects on menses, general health, religious obligations and sexual relationship
description Objective: The aim of this study is to determine the effects of subdermal etonogestrel implant on menstrual pattern, body mass index (BMI), systolic and diastolic blood pressure (SBP and DBP), sexual relationship and religious obligations. Methodology: A descriptive study was conducted at a family planning clinic between 1st January 2010 to 31st December 2011 whereby all the women who had their subdermal etonogestrel removed during this period were included. A selfprepared questionnaire was filled up with the help of a research assistant, which looked into the menstrual cycles prior to and during the implant usage, the non-menstrual adverse events, effect of menses on religious obligations and sexual relationship and the overall acceptability of subdermal etonogestrel as a contraceptive method. Blood pressure (BP) and BMI were recorded at the time of removal, while BP and BMI at insertion were gathered from the case file. Result: 50 patients were recruited in this study. The mean duration of use was 33.8 months (±10.4) and 78% had completed 3 years. The prevalence of menstrual disturbance whilst on subdermal etonogestrel implant was 78%. The mean differences of SBP, DBP and BMI at removal and prior to usage were statistically significant. There was no association between BMI and menstrual pattern whilst on implant. Practicing religious obligations and sexual activity were affected in 14.0% and 18.0% respectively. Overall satisfaction of subdermal implant was 92%. Conclusion: Despite the high prevalence of menstrual disturbance, subdermal etonogestrel is well accepted. Changes in the mean of SBP, DBP and BMI were not clinically significant, but a significant proportion of the studied women had a significant increase in SBP, DBP and BMI. The performing of religious duty and sexual activity seem to be unaffected.
format Article
author S I, Sharifah A
Abdulwahab, Dalia F
Awang, Mokhtar
author_facet S I, Sharifah A
Abdulwahab, Dalia F
Awang, Mokhtar
author_sort S I, Sharifah A
title Subdermal etonogestrel: the effects on menses, general health, religious obligations and sexual relationship
title_short Subdermal etonogestrel: the effects on menses, general health, religious obligations and sexual relationship
title_full Subdermal etonogestrel: the effects on menses, general health, religious obligations and sexual relationship
title_fullStr Subdermal etonogestrel: the effects on menses, general health, religious obligations and sexual relationship
title_full_unstemmed Subdermal etonogestrel: the effects on menses, general health, religious obligations and sexual relationship
title_sort subdermal etonogestrel: the effects on menses, general health, religious obligations and sexual relationship
publisher Kulliyyah (Faculty) of Medicine, International Islamic University Malaysia.
publishDate 2015
url http://irep.iium.edu.my/50185/1/IMJM-Vol-14-Supp-p11-Dr_Dalia.pdf
http://irep.iium.edu.my/50185/
http://iiumedic.net/imjm/v1/download/volume_14_supplement/IMJM-Vol-14-Supp-p11-S-I-Sharifah-A.pdf
_version_ 1643613680218144768
score 13.211869

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