title: [Contraception with levonorgestrel subdermal implants. A Tunisian study].
abstract: 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.
authors: Centre d'Etudes et de Recherche en Reproduction humaine, Office national de la Famille et de la Population, Ariana, Tunisia.
authors: R
authors: R
authors: Hamzaoui
authors: S
authors: S
authors: Derbel
authors: K
authors: K
authors: Gorgob
authors: A
authors: A
authors: M'hamdi
authors: H
authors: H
authors: Mansour
authors: N
authors: N
authors: Boulehia
authors: N
authors: N
authors: Gueddana
mesh_terms: 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
chemical_list: D003278:Contraceptives, Oral, Hormonal; D004343:Drug Implants; D045167:Progesterone Congeners; D016912:Levonorgestrel
vernacular_title: La contraception par les implants sous-cutanés de lévonorgestrel. Une étude tunisienne.