Effects of Jadelle Used in Thai Women Aged between 20 and 45 Years in King Chulalongkorn Memorial Hospital
Woraprapa Laphikanont MD*, Surasak Taneepanichskul MD*
Affiliation : * Department of Obstetrics and Gynecology, Faculty of Medicine,Chulalongkorn University
Objective : To study the menstrual patterns and side effects of Jadelle use in Thai women aged between 20 and
45 years.
Study
Design : Prospective descriptive study.
Setting : Family Planning Clinic, Department of Obstetrics and Gynecology, King Chulalongkorn Memorial
hospital.
Materials and Methods : A prospective clinical trial study was conducted at the Family Planning Unit, King
Chulalongkorn Memorial Hospital in June 2005. The study duration was 6 months.The data was obtained
from each patient’s medical record.The descriptive statistics was frequency, percentage, mean, SD and 95%
Confidence Interval (CI).The statistical analyses were performed by using the paired t test for comparison of
means before and after 6 months of Jadelle used.
Results : A total of 59 women were recruited in a 6-month clinical study. Their mean age was 29.07 years. Most
acceptors had completed secondary school. No accidental pregnancy occurred throughout the 6 months of
use in the present study. The most common menstrual pattern was amenorrhea followed by irregular bleeding.
The major side effect was irregular bleeding.There was no significant change in body weight, body mass index,
and systolic-diastolic blood pressure during the 6 months follow up period. The common non menstrual
adverse effects were headache, acne, alopecia.
Discussion: The most common menstrual patterns found in the present study were amenorrhea and irregular
bleeding followed by a regular cycle. The common nonmenstrual adverse effects were headache, acne, and
alopecia. There were no pregnancies in the 6-month follow-up period. Jadelle was an effective implant
contraceptive method with an acceptable bleeding pattern. Over all acceptability was good.This should
become another choice of contraception for Thai women.
Keywords : Jadelle, Contraception, Menstrual pattern, Side effects
