Long-acting reversible contraceptives - Implant vs. Intrauterine Device; Why go for either?

Objective: To compare the clinical performance and side effects of Implant (jadelle) intrauterine contraceptive device (Cu-T). Study Design: Prospective Analytic study. Setting: Department Obstetrics & Gynaecology, PNS Shifa Hospital, Bahria University Health Sciences, Karachi. Period: 1st January 2021 to 31st December 2021. Material Methods: A total 162 married females childbearing age participated in our study, n=81 each group. Group consisted those who had subdermal implant jadelle inserted B included ladies were using devices (IUDs) for contraception. Patient with pre-existing medical disrorders levonorgestrel Intrauterine system (Mirena) excluded. They interviewed a structured questionnaire at 6-months post insertion. The outcome success/ failure rate effects. Data was analysed SPSS 22. Results: women part this Most, 30(37.03%) between 26-30 years (Implant) vs. 36 (44.4%) devices. 56 (61.7%) 68 (83.9%) regular menstruation prior use LARC; p-value 0.05 which is statistically significant. 45 (55.5%) 33 (40.7%) least secondary level education. Among two study groups, 12(14.8) 24 (29.6%) reported mild increase menstrual bleeding, 0. 000. Other noticed headache, nausea, weight gain. Conclusion: Progesterone only showed same efficacy as Copper T IUD (intrauterine devices) significantly fewer