Table 3.
Reasons for Long-Acting Reversible Contraception Method Removal During the Zika Contraception Access Network Program
| Reason for Removal | All LARC Methods (n=580)* |
LNG IUD (n=290) |
Copper IUD (n=79) |
ETN Implant (n=211) |
|---|---|---|---|---|
| Irregular bleeding | 180 (31) | 79 (27) | 27 (34) | 74 (35) |
| Pelvic pain | 99 (17) | 80 (28) | 17 (22) | 2 (1) |
| Arm pain | 7 (1) | 0 (0) | 0 (0) | 7 (3) |
| Decreased libido | 3 (1) | 0 (0) | 0 (0) | 3 (1) |
| Desires pregnancy | 16 (3) | 8(3) | 1 (1) | 7 (3) |
| Does not like method | 28 (5) | 17 (6) | 8 (10) | 3 (1) |
| Headache | 14 (2) | 4(1) | 0 (0) | 10 (5) |
| Mood changes | 15 (3) | 4(1) | 0 (0) | 11 (5) |
| Pain with sex | 7 (1) | 4(1) | 3 (4) | 0 (0) |
| Pelvic infection | 12 (2) | 11 (4) | 1 (1) | 0 (0) |
| Weight gain | 14 (2) | 5 (2) | 0 (0) | 9 (4) |
| Other† | 185 (32) | 78 (27) | 22 (28) | 85 (40) |
LARC, long-acting reversible contraception; LNG, levonorgestrel; IUD, intrauterine device; ETN, etonogestrel.
Eighty-five LNG IUD partial expulsions, fifty Copper IUD partial expulsions, one ETN implant expulsion, and three broken implants were excluded (Fig. 1).
Other reasons included abnormal discharge, acne, allergic reaction, anemia, back pain, breast cancer, burning sensation, cavernous sinus thrombosis, dizziness, doesn’t want a contraceptive method, owing to program ending, fatigue, fear of breast cancer, hair loss, increased blood pressure, itching, leg pain, menopause symptoms, nausea, not sexually active, other medical reason, ovarian cyst, partner feels strings, partner got a vasectomy, patient desires sterilization, patient diagnosed with lupus, patient feels strings, patient removed IUD accidentally, physician notes illegible/unclear, physician recommendation, pregnant, religious reasons, skin infection, skin rash, thinking about other options, unspecified side effects, urinary tract infection, uterine fibroids, vaginal dryness, weight loss.