Table 4 Experience with Implanon NXT (insertion and first 12 months)
Initial acceptors | 6 months | 12 months | |
|---|---|---|---|
N = 531 (%) | N = 460 (%) | N = 420a (%) | |
How concerned were you before receiving Implanon NXT? | |||
Very concerned | 31 (5.8) | ||
Somewhat concerned | 129 (24.3) | ||
Not concerned at all | 371 (69.9) | ||
Specific concerns (n = 160) for those who reported being “somewhat” or “very” concerned | |||
Fear of pain during or after insertion | 115 (77.9) | ||
Fear of side effects | 70 (43.8) | ||
Efficacy in preventing pregnancy | 19 (11.9) | ||
Fear of future infertility | 16 (10.0) | ||
Fear of birth defects | 6 (3.8) | ||
Husband / partner does not agree | 3 (1.9) | ||
More familiar with other methods | 2 (1.3) | ||
Other | 9 (5.6) | ||
How painful was the insertion? | |||
Not painful | 342 (64.4) | ||
Somewhat painful | 182 (34.3) | ||
Very painful | 7 (1.3) | ||
Did you experience a skin reaction or irritation at insertion site? | 30 (5.7) | ||
How severe was this skin reaction? (n = 30) | |||
Minor | 21 (70.0) | ||
Moderate | 8 (26.7) | ||
Serious | 1 (3.3) | ||
6 monthsN = 460 (%) | 12 monthsN = 420a(%) | ||
Had side effects from Implanon NXT | 290 (63.04) | 242 (57.62) | |
Side effects | N = 290 (%) | N = 242 (%) | |
Amenorrhea | 128 (44.1) | 118 (48.8) | |
Irregular periods | 104 (35.9) | 62 (25.6) | |
Frequent / heavy bleeding | 62 (21.4) | 43 (17.8) | |
Abdominal pain | 43 (14.8) | 33 (13.60) | |
Backaches | 23 (7.9) | 19 (7.90) | |
Weight loss | 26 (9.0) | 15 (6.20) | |
Headaches | 8 (2.8) | 11 (4.50) | |
Weight gain | 17 (5.9) | 9 (3.70) | |
Nausea / vomiting | 16 (5.5) | 7 (2.9) | |
Weakness / fatigue | 9 (3.1) | 6 (2.5) | |
Pain at insertion site | 1 (0.3) | 4 (1.7) | |
Acne | 1 (0.3) | 2 (0.8) | |
Breast tenderness | 4 (1.4) | 1 (0.4) | |
Decreased libido | 2 (0.7) | 1 (0.4) | |
Vaginal dryness | 1 (0.3) | 0 (0.0) | |
Other | 19 (6.6) | 17 (7.0) | |
Since receiving Implanon NXT, have you become pregnant? | 7 (1.50) | 1 (0.2) | |
How long would you like to wait before having your next child? | N = 420 (%) | ||
Less than 1 year | Non Applicable (NA) | 7 (1.7) | |
1–3 years | NA | 230 (54.8) | |
4–6 years | NA | 117 (27.9) | |
7–9 years | NA | 24 (5.7) | |
10 or more years | NA | 42 (10.0) | |
For women who continued using Implanon NXT | |||
Reasons for continuing with Implanon NXT | N = 407 (%) | N = 382 (%) | |
Long term protection | 312 (76.7) | NA | |
Effective | 165 (40.5) | 318 (83.2) | |
More effective than previous methods | NA | 52(13.6) | |
Easy to use | 143 (35.1) | 134 (35.1) | |
Few side effects | 77 (18.9) | 68 (17.8) | |
Painless | 52 (12.8) | NA | |
Easy to hide | 28 (6.9) | 50 (13.1) | |
No need to go to health facility | 7 (1.7) | 8 (2.1) | |
No need to remember dates | 17 (4.2) | 49 (12.8) | |
Other | 13 (3.2) | 10 (2.6) | |
At any point, did you want to have Implanon NXT removed? | NA | 21 (5.2) | |
Reasons for wanting to get it removed | N = 27 | ||
Side effects | NA | 21 (77.8) | |
Partner opposition | NA | 1 (3.7) | |
Opposition from another person | NA | 3 (11.1) | |
Want to get pregnant | NA | 1 (3.7) | |
Other | NA | 3 (11.1) | |
Why did you keep Implanon NXT if wanted it removed? | N = 27 (%) | ||
Decided to tolerate side effects | NA | 18 (66.7) | |
Convinced the opposing person | NA | 3 (11.1) | |
Does not know where to find preferred method | NA | 1 (3.7) | |
Does not know where to get Implanon NXT removed | NA | 1 (3.7) | |
Tried to get it removed but no one was competent to do so | NA | 1 (3.7) | |
Other | NA | 5 (18.5) | |
Intention to continue using Implanon NXT in the future | N = 407 (%) | ||
Yes | NA | 382 (93.9) | |
No | NA | 21 (5.2) | |
Does not know | NA | 4 (1.0) | |
For women who had Implanon NXT removed | |||
Reasons removed Implanon NXT | N = 21 (%) | N = 13 (%) | |
Side effects | 17 (81.0) | 12 (92.3) | |
Partner disapproved | 6 (28.6) | 5 (38.5) | |
Other | 5 (23.8) | 1 (7.7) | |
Wanted to get pregnant | 1 (4.8) | 0 (0.0) | |
Prefer another method | 3 (14.3) | 0 (0.0) | |
Overall satisfaction with Implanon NXT? | |||
Initial | 6 months | 12 months | |
Would recommend Implanon NXT to a friend | N = 531 (%) | N = 460 (%) | N = 420 (%) |
Strongly recommend | 357 (67.2) | 404 (87.8) | 332 (79.0) |
Recommend | 167 (31.5) | 39 (8.5) | 80 (19.0) |
Does not recommend | 5 (1.0) | 5 (1.1) | 5 (1.2) |
Indifferent / does not know | 2 (0.4) | 3 (0.7) | 3 (0.7) |