Vaginal Bleeding Patterns in Women with Heart Disease Who Used Contraceptive Implants in Songklanagarind Hospital

Thai Journal of Obstetrics and Gynaecology

article

KlaCharernjiratragul¹  Satit Klangsin¹  SaranyaWattanakumtornkul¹  Karanrat Soonthornpun¹ 

[1] Department of Obstetrics and Gynecology, Faculty of Medicine, Prince of Songkla University

关键词: abnormal vaginal bleeding;    contraceptive implants;    discontinuation;    heart disease;   

DOI  :  10.14456/tjog.2023.9

学科分类：社会科学、人文和艺术（综合）

来源: The Royal Thai College of Obstetricians and Gynaecologists

【 摘 要 】

Objectives: The primary objective was to evaluate the vaginal bleeding patterns of women with heart disease who used contraceptive implants. The secondary objectives were to compare the results with healthy women (no underlying disease) and evaluate the rates and reasons for discontinuation. Materials and Methods: A retrospective study was conducted at Songklanagarind Hospital from January 1, 2008 to December 31, 2017. The patients who used contraceptive implants were divided into two groups: women with heart disease and healthy women. The patterns of vaginal bleeding, discontinuation rate and reasons of discontinuation were recorded and compared. Results: A total of 263 women who used contraceptive implants included 54 (20.5%) women with heart disease. Levonorgestrel implants were used most frequently (92.6%). The rate of abnormal vaginal bleeding was significantly higher in women with heart disease (94.4% vs 71.3%, p < 0.01). Abnormal vaginal bleeding patterns were irregular bleeding (33.3%), no bleeding (33.3%), and prolonged bleeding (14.8%). Women with heart disease (53.7%) who used anticoagulants had similar frequencies of overall abnormal vaginal bleeding patterns as the non-users of anticoagulants (95.8% vs 93.3%, p = 1.00). The discontinuation rates of contraceptive implants in women with heart disease were significantly lower than in healthy women (14.8% vs 29.7%, p = 0.048). The most common reason for discontinuation in women with heart disease was abnormal vaginal bleeding (62%). Conclusion: The continuation rates of contraceptive implants in women with heart disease were high. The abnormal vaginal bleeding rate was 94.4%, especially irregular bleeding and no bleeding. Abnormal vaginal bleeding was the most common reason for discontinuation.

【 授权许可】

CC BY-NC-ND