流产术后使用依托孕烯植入剂避孕效果及对性生活影响

Contraceptive effects of etonogestrel implants used in women after abortion and its influence on their quality of sexual life

目的:探讨人工流产术后使用依托孕烯植入剂对性生活质量影响。方法:选择2019年1月—2019年12月在本院门诊因意外妊娠行人工流产术后即刻植入依托孕烯植入剂女性150例为植入剂组,未植入依托孕烯植入剂采用避孕套避孕150例为对照组。随访术后6、12个月时意外妊娠、出血模式、副作用等,采用女性性生活质量问卷评估性生活质量,中文版女性性功能量表评估性功能。结果:6、12个月时,植入剂组意外妊娠率(0)均低于对照组(4.7%、10.7%),发生闭经(17.3%)和月经稀发(14.7%)、出血频发(10.7%)和出血延长的发生率(8.7%)高于对照组,性生活质量评分和性功能评分均高于对照组(均P<0.05)。植入剂组因出血模式改变终止使用12例,续用率92.0%。结论:人工流产术后使用依托孕烯植入剂避孕效果好,可提高女性性生活质量,续用率较高,但应做好避孕前的咨询工作。

Objective:To study the etonogestrel implants used in the women with unwanted pregnancy after abortion and its influence on their sexual quality of life and sexual function.Methods:150 women who received etonogestrel implants as contraception after abortion of unplanned pregnancy immediately were selected study group and another 150 women who received condoms as contraception after abortion of unplanned pregnancy were included in control group from January 2019 to December 2019.The postoperative unwanted pregnancy rate,the bleeding pattern,and the side effects rate of the women in the two groups were followed up for 6 months and 12 months.The female sexual quality questionnaire was used to assess their sexual quality of the women,and the Chinese version of the female sexual function scale was used to evaluate their sexual function.Results:The rates of unintended pregnancy(0%and 0%)of the women in the study group at 6 month and 12 month was significant lower than those(4.7%and 10.7%)of the women in the control group.The incidences of amenorrhea(17.3%),the irregular menstruation(14.7%),the frequent bleeding(10.7%),and the prolonged bleeding(8.7%)of the women in the study group were significant higher than those of the women in the control group,and sexual life quality score and sexual function score of the women in the study group were also significant higher(all P<0.05).In the study group,there were 12 women without continued etonogestrel implants used due to the change of bleeding pattern,and the continuation rate was 92.0%.Conclusion:Etonogestrel implants of the women after abortion of unplanned pregnancy has good contraceptive effect,which can improve the quality of sexual life and sexual function of the women,and has high continued using rate.However,counseling should be done well on the women before contraception used.