학술논문
A Randomized Clinical Trial of the Effect of Intensive Versus Non-intensive Counseling on Discontinuation Rates Due to Bleeding Disturbances of Three Long-Acting Reversible Contraceptives
Document Type
Article
Source
Obstetrical and Gynecological Survey; January 2015, Vol. 70 Issue: 1 p24-26, 3p
Subject
Language
ISSN
00297828; 15339866
Abstract
Long-acting reversible contraceptives (LARCs) include the etonogestrel (ENG)–releasing subdermal implant, the levonorgestrel-releasing intrauterine system (LNG-IUS), and the TCu380A intrauterine device (IUD). Despite the high contraceptive efficacy of LARCs, adverse effects may lead to their premature removal, reduce continuation rates, and potentially increase unintended pregnancies. The primary reason for premature discontinuation is unpredictable menstrual bleeding, especially for users of the ENG-implant and the LNG-IUS. Counseling is a well-accepted strategy to improve acceptance, continuation, and satisfaction among contraceptive users and new users.