Contraceptive implants and adverse clinical effects of treatment.docVIP

 PAGE \* MERGEFORMAT 10 Contraceptive implants and adverse clinical effects of treatment [Keywords:] contraceptive implants adverse clinical effects Place the implants used in women of childbearing age is an effective contraceptive measures. Whether L-type Ⅰ or type Ⅱ a Keno ketone 18 subcutaneous implants are a Keno by the drug L-18 ketone, silicone rubber tube and silicone medical adhesive consists of three parts. Its mechanism of action is through interference with the reproductive axis, inhibition of ovulation or the luteal phase defect; changes in the quality and quantity of cervical mucus, is not conducive to sperm through, change the morphology of endometrial tissue, not conducive to the fertilized egg implantation. Site implants placed to carry out surgery to achieve satisfactory results, are reported below. Subjects and methods 1. Target: May 1992 to June 2009 implants placed in the site operation 4238 patients required long-term contraception for women. Implementing an operation of all women under 40 years old and 40-year-old women who need long-term contraception; not appropriate and not be able to IUD insertion (such as genital malformations or copper allergy women); multiple intrauterine device failure; is enough to have children who need long-term contraception for women unwilling to opt for sterilization; taking oral contraceptives containing estrogen or estrogen side effects are taboo; those who can not take birth control pills on time. with an average age of 32.5 years (24 to 40) years of age, pregnancy 3.6 times (1 ~ 5) times. 2. Implantation time: menstrual cramps during the first 1 ~ 7 d; after abortion, to ensure that no residual pregnancy tissue implanted immediately; postpartum period were not turning, remove implants after pregnancy. 3. Implantation methods: by the surgeon take supine, left (right) arm abduction and external rotation flat on the pallet, the surgeon with hats, masks, surgical clothes to wear clean, open