The study aims were threefold, namely to assess continuation rates with Implanon® fitted in clients from three contraception and sexual health services; to identify factors associated with early removal of Implanon®, and to evaluate clinician compliance with recommended practice in counseling and insertion.

The study methods used were a retrospective review of client records and a comparison with audit criteria. Postal survey.

One hundred and ninety women had Implanon® inserted in the study period. Continuation rates were between 84% and 88% at six months and 67% and 78% at 12 months. There were no pregnancies of procedure complications. The main reasons for removal were the intolerance of recognized side effects or a change of mind about wanting contraception. Younger women were more likely to have the device removed early. There was evidence of excellent or sound recording of many criteria for best practice in counseling and insertion. The assessment highlighted specific issues around counseling and insertion that services needed to consider further.

The study concluded that three services had been reassured that they provide a good standard of care to clients requesting Implanon® and that their ‘real-life’ 6- and 12-month continuation rates are reasonable.