Comparison of Conception Control and Safety among Drospirenone Ethinyl Estradiol Tablets(Ⅱ),Etonogestrel Implants and Levonorgestrel Intrauterine Contraceptive System After Negative Pressure Suction for Artificial Abortion
SHEN Ye, YIN Tingting. Comparison of Conception Control and Safety among Drospirenone Ethinyl Estradiol Tablets(Ⅱ),Etonogestrel Implants and Levonorgestrel Intrauterine Contraceptive System After Negative Pressure Suction for Artificial Abortion[J]. 2020,20(8):925-927.
SHEN Ye, YIN Tingting. Comparison of Conception Control and Safety among Drospirenone Ethinyl Estradiol Tablets(Ⅱ),Etonogestrel Implants and Levonorgestrel Intrauterine Contraceptive System After Negative Pressure Suction for Artificial Abortion[J]. 2020,20(8):925-927. DOI: 10.14009/j.issn.1672-2124.2020.08.008.
OBJECTIVE:To compare conception control and safety among Drospirenone ethinyl estradiol tablets(Ⅱ)
etonogestrel implants and levonorgestrel intrauterine contraceptive system after negative pressure suction for artificial abortion.METHODS:223 healthy women with unintended pregnancy undergoing negative pressure suction for artificial abortion admitted into Wuxi Maternal and Child Health Hospital Affiliated to Nanjing Medical University from Jan.2018 to Jul.2019 were retrospectively analyzed.The 223 patients were divided into group A(treated with Drospirenone ethinyl estradiol tablets(Ⅱ) orally
68 cases)
group B(given etonogestrel implants for hypodermic implantation
75 cases) and group C(treated with levonorgestrel intrauterine contraceptive system
80 cases) according to different postoperative contraceptive methods.The vaginal bleeding time
menstrual recovery time and uterine recovery after abortion
the re-unplanned pregnancy rate
removal rate of contraceptive measures and continued use rate within 6 months after operation of the three groups were observed
differences in incidences of bleeding and menstruation of the three groups were compared.RESULTS:Compared with group A
the vaginal bleeding time and menstrual recovery time of group B and group C were significantly shorter
and the endometrial thickness was significantly thinner
with statistically significant differences(P < 0.05)
while there were no statistical significance in differences in the above indicators between group B and group C(P>0.05).Compared with group C
the re-unplanned pregnancy rates with 6 months after operation of group A and group B were significantly lower
and the continued use rate was significantly higher
with statistically significant differences(P<0.05);while there were no statistical significance in differences in re-unplanned pregnancy rate
removal rate of contraceptive measures and continued use rate within 6 months after operation between group B and group C(P > 0.05).The incidences of bleeding
spanomenorrhea and amenorrhea of group B and group C were significantly higher than those of group A;the incidence of amenorrhea of group B was significantly higher than that of group C;the incidence of menostaxis of group C was significantly higher than that of group A
with statistically significant differences(P < 0.05).CONCLUSIONS:Drospirenone ethinyl estradiol tablets(Ⅱ)
etonogestrel implants and levonorgestrel intrauterine contraceptive system can all achieve better conception control.Drospirenone ethinyl estradiol tablets(Ⅱ) has less effect on endometrium and menstrual patterns
while etonogestrel implants and levonorgestrel intrauterine contraceptive system have more advantages in long-term contraceptive management
but the patients should be selected reasonably to minimize the occurrence of breakthrough bleeding.
关键词
人工流产避孕效果安全性屈螺酮炔雌醇片(Ⅱ)依托孕烯植入剂左炔诺孕酮宫内节育系统
Keywords
Artificial abortionConception controlSafetyDrospirenone ethinyl estradiol tablets(Ⅱ)Etoposterene implantsLevonorgestrel intrauterine contraceptive system