Keep Contraceptive Arm Long Acting-iMplant (CALM) and Carry On
Study Details
Study Description
Brief Summary
The investigators will conduct an observational study comparing the number of bleeding days before and after contraceptive implant replacement.
Condition or Disease | Intervention/Treatment | Phase |
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Detailed Description
There is very limited information regarding number of bleeding days after replacement of the contraceptive implants. More detailed information on this topic will help clinicians counsel patients and help women decide if they would like to pursue contraceptive implant replacement.
The investigators will conduct a prospective cohort study of (N=50) among women replacing their contraceptive implant. The primary outcome of the study is the difference in number of bleeding days between the 4-week periods before and after implant replacement. Secondary outcomes include satisfaction with bleeding. Additionally, a secondary outcome will be the number of bleeding days in month 2 and month 3 after replacement of the contraceptive implant. The outcomes will be measured in bleeding diaries and satisfaction surveys.
Through a text messaging application, the investigators will send the participants hyperlinks to the diaries/surveys at the stated time points. Participants will report if they had bleeding and the amount based on the Pictorial Blood Assessment Chart (Higham). Participants will complete weekly surveys regarding their satisfaction with their bleeding utilizing a Likert scale. The investigators will also ask participants to complete a survey regarding their satisfaction with their bleeding at end of month 2 and at the end of month 3 after replacement of their contraceptive implant.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Implant Group Adults who are choosing to get a replacement Nexplanon and agree to track and report their bleeding patterns for one month before replacement and 3 months after. |
Device: Track bleeding patterns before and after implant
Participants will report if they had bleeding and the amount based on the Pictorial Blood Assessment Chart. Participants will also complete weekly surveys regarding their satisfaction with their bleeding. We will also ask participants to complete a survey regarding their satisfaction with their bleeding at end of month 2 and at the end of month 3 after replacement of their contraceptive implant.
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Outcome Measures
Primary Outcome Measures
- Number of bleeding days during 4 weeks before replacement [4 weeks (28 days) before day of implant replacement.]
Number of days participants experienced bleeding during the 4 weeks before implant replacement.
- Number of bleeding days 4 weeks after replacement [4 weeks (28 days) after day of implant replacement]
Number of days participants experienced bleeding during the 4 weeks after implant replacement.
Secondary Outcome Measures
- Satisfaction with bleeding before replacement [4 weeks (28 days) before day of implant replacement]
Using a 1-5 Likert scale with 1=Not Satisfied and 5=Very Satisfied, participants will report satisfaction with their bleeding before implant replacement.
- Satisfaction with bleeding after replacement [4 weeks (28 days) after day of implant replacement]
Using a 1-5 Likert scale with 1=Not Satisfied and 5=Very Satisfied, participants will report satisfaction with their bleeding after replacement
- Number of bleeding days during the second month after implant replacement [Second month (defined as 29-56 days) after implant replacement]
Number of days participants experienced bleeding during the second month after implant replacement
- Number of bleeding days during the third month post replacement [Third month (defined as 57-84 days) after implant replacement]
Number of days participants experienced bleeding during the third month after implant replacement
Eligibility Criteria
Criteria
Inclusion Criteria:
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Reproductive aged women 18-50 years old
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With a contraceptive implant (for patient participants)
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Able to consent in English
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Palpable contraceptive implant
Exclusion Criteria:
- Non-palpable contraceptive implant
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | University of California, San Diego | La Jolla | California | United States | 92093 |
Sponsors and Collaborators
- University of California, San Diego
- Merck Sharp & Dohme LLC
Investigators
- Principal Investigator: Sheila Mody, MD, MPH, University of California, San Diego
Study Documents (Full-Text)
None provided.More Information
Publications
- 201908