Nexplanon Subdermal Implant: Assessment of Sexual Profile, Metabolism, and Bleeding in a Cohort of Italian Women
Objectives. To evaluate the impact on metabolism, bleeding, and sexual function of Nexplanon, a subdermal implant. Study Design. We recruited women (n=101) receiving the Nexplanon implant at two university centers in Italy between 2011 and 2016 into this prospective, observational, multicenter resea...
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Online Access: | http://dx.doi.org/10.1155/2019/3726957 |
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doaj-d8085615c525451394ef76fa0c4d11492020-11-24T22:13:44ZengHindawi LimitedBioMed Research International2314-61332314-61412019-01-01201910.1155/2019/37269573726957Nexplanon Subdermal Implant: Assessment of Sexual Profile, Metabolism, and Bleeding in a Cohort of Italian WomenMaurizio Guida0Manuela Farris1Carmen Imma Aquino2Elena Rosato3Lucio M. A. Cipullo4Carlo Bastianelli5Department of Obstetrics and Gynecology, School of Medicine, University of Salerno, Salerno, ItalyDepartment of Maternal and Child Health and Urology, Sapienza University of Rome, ItalyDepartment of Obstetrics and Gynecology, School of Medicine, University of Salerno, Salerno, ItalyDepartment of Maternal and Child Health and Urology, Sapienza University of Rome, ItalyDepartment of Obstetrics and Gynecology, School of Medicine, University of Salerno, Salerno, ItalyDepartment of Maternal and Child Health and Urology, Sapienza University of Rome, ItalyObjectives. To evaluate the impact on metabolism, bleeding, and sexual function of Nexplanon, a subdermal implant. Study Design. We recruited women (n=101) receiving the Nexplanon implant at two university centers in Italy between 2011 and 2016 into this prospective, observational, multicenter research trial. Participants completed the Interview for Ratings of Sexual Function (IRSF) and the Female Sexual Function Index (FSFI) questionnaires before and 3 and 6 months after the implant was inserted. In addition, all blood parameters were assessed at these visits. All women were given a menstrual diary card and a pictorial blood assessment chart to record daily any vaginal bleeding. Results. The studied metabolic parameters remained in the normal range, showing no alarming modifications: minimal statistical reductions (in aspartate aminotransferase, alanine aminotransferase, total cholesterol, triglycerides, and activated partial thromboplastin time) and increases (in glucose and prothrombin activity) were observed. Changes in IRSF score over 6 months showed a significant increase in pleasure, personal initiative, orgasm, intensity of orgasm, and satisfaction, and a significant decrease in anxiety and discomfort. Mean Body Mass Index decreased, and the weekly frequency of sexual intercourse increased. Conclusions. Nexplanon showed not only a lower metabolic and bleeding impact, but also important positive effects on sexual function. It expands the range of possibilities for women, 38 and couples, in the modern concepts of sexual and reproductive wellbeing.http://dx.doi.org/10.1155/2019/3726957 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Maurizio Guida Manuela Farris Carmen Imma Aquino Elena Rosato Lucio M. A. Cipullo Carlo Bastianelli |
spellingShingle |
Maurizio Guida Manuela Farris Carmen Imma Aquino Elena Rosato Lucio M. A. Cipullo Carlo Bastianelli Nexplanon Subdermal Implant: Assessment of Sexual Profile, Metabolism, and Bleeding in a Cohort of Italian Women BioMed Research International |
author_facet |
Maurizio Guida Manuela Farris Carmen Imma Aquino Elena Rosato Lucio M. A. Cipullo Carlo Bastianelli |
author_sort |
Maurizio Guida |
title |
Nexplanon Subdermal Implant: Assessment of Sexual Profile, Metabolism, and Bleeding in a Cohort of Italian Women |
title_short |
Nexplanon Subdermal Implant: Assessment of Sexual Profile, Metabolism, and Bleeding in a Cohort of Italian Women |
title_full |
Nexplanon Subdermal Implant: Assessment of Sexual Profile, Metabolism, and Bleeding in a Cohort of Italian Women |
title_fullStr |
Nexplanon Subdermal Implant: Assessment of Sexual Profile, Metabolism, and Bleeding in a Cohort of Italian Women |
title_full_unstemmed |
Nexplanon Subdermal Implant: Assessment of Sexual Profile, Metabolism, and Bleeding in a Cohort of Italian Women |
title_sort |
nexplanon subdermal implant: assessment of sexual profile, metabolism, and bleeding in a cohort of italian women |
publisher |
Hindawi Limited |
series |
BioMed Research International |
issn |
2314-6133 2314-6141 |
publishDate |
2019-01-01 |
description |
Objectives. To evaluate the impact on metabolism, bleeding, and sexual function of Nexplanon, a subdermal implant. Study Design. We recruited women (n=101) receiving the Nexplanon implant at two university centers in Italy between 2011 and 2016 into this prospective, observational, multicenter research trial. Participants completed the Interview for Ratings of Sexual Function (IRSF) and the Female Sexual Function Index (FSFI) questionnaires before and 3 and 6 months after the implant was inserted. In addition, all blood parameters were assessed at these visits. All women were given a menstrual diary card and a pictorial blood assessment chart to record daily any vaginal bleeding. Results. The studied metabolic parameters remained in the normal range, showing no alarming modifications: minimal statistical reductions (in aspartate aminotransferase, alanine aminotransferase, total cholesterol, triglycerides, and activated partial thromboplastin time) and increases (in glucose and prothrombin activity) were observed. Changes in IRSF score over 6 months showed a significant increase in pleasure, personal initiative, orgasm, intensity of orgasm, and satisfaction, and a significant decrease in anxiety and discomfort. Mean Body Mass Index decreased, and the weekly frequency of sexual intercourse increased. Conclusions. Nexplanon showed not only a lower metabolic and bleeding impact, but also important positive effects on sexual function. It expands the range of possibilities for women, 38 and couples, in the modern concepts of sexual and reproductive wellbeing. |
url |
http://dx.doi.org/10.1155/2019/3726957 |
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