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| Contraceptive effects of etonogestrel implants used in women after abortion and its influence on their quality of sexual life |
| Shanghai Instirute for Biomedical and Pharmaceutical Technologies, Shanghai Family Planning Hospital, Shanghai, 200032 |
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Abstract To study the etonogestrel implants used in the women with unwanted pregnancy after abortion and its influence on their sexual quality of life and sexual function.Methods: 150 women who received etonogestrel implants as contraception after abortion of unplanned pregnancy immediately were selected study group and another 150 women who received condoms as contraception after abortion of unplanned pregnancy were included in control group from January 2019 to December 2019.The postoperative unwanted pregnancy rate, the bleeding pattern, and the side effects rate of the women in the two groups were followed up for 6 months and 12 months.The female sexual quality questionnaire was used to assess their sexual quality of the women, and the Chinese version of the female sexual function scale was used to evaluate their sexual function.Results: The rates of unintended pregnancy（0% and 0%) of the women in the study group at 6 month and 12 month was significant lower than those（4.7% and 10.7%) of the women in the control group.The incidences of amenorrhea（17.3%), the irregular menstruation（14.7%), the frequent bleeding（10.7%), and the prolonged bleeding（8.7%) of the women in the study group were significant higher than those of the women in the control group, and sexual life quality score and sexual function score of the women in the study group were also significant higher（all P<0.05).In the study group, there were 12 women without continued etonogestrel implants used due to the change of bleeding pattern, and the continuation rate was 92.0%.Conclusion: Etonogestrel implants of the women after abortion of unplanned pregnancy has good contraceptive effect, which can improve the quality of sexual life and sexual function of the women, and has high continued using rate.However, counseling should be done well on the women before contraception used.
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