THE EFFECTIVENESS, ACCEPTABILITY OF IMPLANTATION SUBCUTANEOUS CONTRACEPTIVE AND ITS EFFECT ON THE NATURE OF THE MENSTRUAL CYCLE.

Aim. In the modern world, there is a tendency to reduce the number of children born by a woman during her life. That's why family planning and the creation of safe and reliable methods of contraception come to the fore. The aim of this work was to study effectiveness and safety of subcutaneous contraceptives containing etonogestrel, as well as their effect on the menstrual cycle in women of reproductive age. Materials and methods. An assessment of the nature of the menstrual cycle and the developed side effects when using Implanone NXT was performed 8 months after implant placement. All patients were divided into two groups: group I included 37 women of reproductive age with no pregnancy for 2 years or more, group II included 35 women in the postpartum period. At the end of the study, all women filled out a questionnaire, which indicated satisfaction with this method of contraception. Results. During the study it was revealed that the structure of menstrual irregularities in the studied women changed. Disorders by type of polymenorrhea decreased in both groups; in group II new types of cycle disturbances appeared amenorrhea, menstrual retardation and metrorrhagia. Menstrual irregularities didn’t affect the satisfaction of women with this method of contraception and didn’t lead to the abandonment of the use of a subcutaneous hormonal releasing system of prolonged action. Also at the end of the study during the survey it was found that the severity of side effects decreased. Keywords: menstrual irregularities, side effects, Implanone NXT, implantation subcutaneous contraceptive