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Use of long-acting contraceptives: side effects and tolerability
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Keywords

Uterine devices
Long-Acting Reversible Contraception
Contraception

How to Cite

Use of long-acting contraceptives: side effects and tolerability. (2024). Electronic Journal Collection Health, 24(7), e16801. https://doi.org/10.25248/reas.e16801.2024

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Abstract

Objective: To evaluate the frequency of side effects in users of long-acting reversible contraceptives (LARC). Methods: This was a pilot, longitudinal study, with medical records of 86 patients treated in a private clinic, users of LARC (T Cu 380A, Mirena, Implanon or Kyleena). Results: The mean age of the patients was 32.1 + 6.61 years. Among the LARCs, the use of Diu T Cu 380 A (30.2%), Implanon (20.9%), Mirena (46.5%), Kyleena (2.3%) was identified. Among the side effects identified by patients, irregular menstrual bleeding (n=19; 22.1%), abdominal cramps (n=5; 5.8%), weight gain (n=5; 5.8%) stood out and acne (n=3; 3.9%). Implanon was associated with irregular bleeding (p=0.01; X2= 10.6), weight gain was associated with Mirena (p=0.01; X2= 9.9) and acne was common in all methods with progestin. There was one case of pregnancy with the TCu 380 A.  Conclusio: Irregular bleeding was associated with Implanon and weight gain with the use of Mirena, therefore, patients should be guided when choosing a long-acting contraceptive.

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