EFFICACY, SATISFACTION, AND DISCOMFORT OF LONG ACTING CONTRACEPTIVE METHODS IN SULAIMANI CITY, IRAQ: A COMPARATIVE FOLLOW UP STUDY  

Abeer Muhyadden Saeed a, Huda Muhaddein Mohammed band Fattah Hama Rahim Fattah b



Uro-Gynecological Consultant, Denemark.
b College of Medicine, University of Sulaimani, Kurdistan Region, Iraq. 



Submitted: 25/3/2019; Accepted: 16/2/2020; Published: 21/3/2020

ABSTRACT


Background 


The choice of available contraceptive methods has increased in recent years At the same time, women’s awareness of methods and reasons for their method choice, or reasons for changing methods, is limited. Long-acting reversible contraception (LARC ) in the form of intrauterine devices (IUDs) and the subdermal implant are  starting to use. 


Objectives 

The aim of this study was to assess the efficacy, satisfaction, and discomfort of two common types of long acting contraceptive methods in Sulaimani City. 


Patients and Methods

The study was a comparative follow up study, 80 non pregnant married women at reproductive age were included. Verbal consent was taken from the lady to use one of the methods. Patients were allocated into two groups, 40 were using long acting reversible contraception LARC (Intrauterine levonegesterl loaded system “Mirena”, while the others 40 patients used subdermal progestene “Implanon”. Insertion of both methods were performed by the researcher by following the scientific guides and techniques. 


Results

Mean age of patients with Implanon use was nearly 30 years old, while for those using Mirena was 34.5; this difference statistically was highly significant. Highest level of satisfaction (65%) was reported among women using Mirena, while high percentage of dissatisfaction was reported among women who were using Implanon, this association statistically was highly significant. 


Conclusion

Highest level of satisfaction, decrease in duration of blood flow, and discomfort during insertion were reported among women were using Mirena, Generally there are significant reduction in heavy blood flow, and presence of dysmmenrohea one year after insertion of both types of long acting contraception.

Keywords: 



KEYWORDS

Mesne discomfort, Mirena, Implanon, Long Acting Contraception