Australian women's experiences of the subdermal contraceptive implant: A qualitative perspective

Aust Fam Physician. 2016 Oct;45(10):734-739.

Abstract

Background: The number of prescriptions for contraceptive implants has steadily increased in Australia, but implant use is still low.

Objective: The objectives of the study were to describe women's nuanced responses, and characterise their multidimensional and complex reasons for (dis)continuing use of the contraceptive implant.

Methods: A descriptive qualitative approach was used for this study. A larger qualitative study using in-depth, open-ended interviews, conducted in New South Wales between 2012 and 2013 with 94 women aged 16-49 years who had used contraception, included 10 interviews containing accounts of implant use. The 10 interviews were analysed thematically in the present study.

Results: The three main themes analysed from the 10 interviews were perceived benefits, undesirable experiences and perseverance.

Discussion: The participants were well informed about the benefits of the implant. Many persevered with it for a significant period of time before discontinuing it, despite experiencing side effects such as bleeding or mood changes. A decision to discontinue was often only made after an accumulation of multiple side effects.

MeSH terms

  • Adult
  • Australia
  • Contraception / methods*
  • Contraception / standards*
  • Contraception Behavior / psychology*
  • Contraceptive Agents, Female / adverse effects
  • Desogestrel / adverse effects*
  • Desogestrel / therapeutic use
  • Female
  • Humans
  • Patient Satisfaction*
  • Perception*
  • Qualitative Research

Substances

  • Contraceptive Agents, Female
  • etonogestrel
  • Desogestrel