[Contraception with levonorgestrel subdermal implants. A Tunisian study].
OBJECTIVE
We report our experience in Tunisia with contraception by subdermal levonogestrel implants.


METHODS
From January 1, 1990 through June 30, 1994 we inserted 1021 implants at our family planning center in Ariana.


RESULTS
Our experience with this pure progesterone implant showed that this method provides effective long-duration contraception. There was only one case of ectopic pregnancy among our 1021 patients. The most frequent undesirable effect and the first cause of discontinuing treatment was disturbed menstrual cycle with irregular discharge.


CONCLUSIONS
Our results underline the importance of counselling before implant insertion. A 10-day estrogen regimen may provide a solution for menstrual disorders.
Hamzaoui
R
R
Centre d'Etudes et de Recherche en Reproduction humaine, Office national de la Famille et de la Population, Ariana, Tunisia.
Derbel
S
S
Gorgob
K
K
M'hamdi
A
A
Mansour
H
H
Boulehia
N
N
Gueddana
N
N
D000328:Adult; D003278:Contraceptives, Oral, Hormonal / Q000008:administration & dosage* / Q000009:adverse effects; D004343:Drug Implants; D005069:Evaluation Studies as Topic; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D016912:Levonorgestrel / Q000008:administration & dosage* / Q000009:adverse effects; D008599:Menstruation Disturbances / Q000139:chemically induced; D045167:Progesterone Congeners / Q000008:administration & dosage* / Q000009:adverse effects; D014416:Tunisia
D003278:Contraceptives, Oral, Hormonal; D004343:Drug Implants; D045167:Progesterone Congeners; D016912:Levonorgestrel
La contraception par les implants sous-cutanés de lévonorgestrel. Une étude tunisienne.