IMPLANT FAILURE RESULTING IN AN UNINTENDED PREGNANCY IN A WOMAN LIVING WITH HIV: A CASE REPORT
- Author:
Rahmah Abdul RAHMAN
1
;
Syahnaz Mohd HASHIM
2
;
Juliana Idora Abdul JALAL
3
Author Information
1. Selayang Baru Health Clinic, Jalan Sungai Tua, 68100 Batu Caves, Selangor, Ministry of Health Malaysia. Department of Family Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaacob Latif, 56000 Cheras, Kuala Lumpur, Malaysia.
2. Department of Family Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaacob Latif, 56000 Cheras, Kuala Lumpur, Malaysia. Hospital Canselor Tuanku Muhriz, Jalan Yaacob Latif, Bandar Tun Razak, 56000 Cheras Kuala Lumpur, Malaysia.
3. Selayang Baru Health Clinic, Jalan Sungai Tua, 68100 Batu Caves, Selangor, Ministry of Health Malaysia.
- Publication Type:Case Reports
- Keywords:
Contraception;
HIV;
Implanon;
Implant Failure;
Pregnancy;
Women
- From:
Brunei International Medical Journal
2024;20():24-28
- CountryBrunei Darussalam
- Language:English
-
Abstract:
Effective and safe contraception is crucial for women living with Human Immunodeficiency Virus (HIV) to prevent unintended pregnancy, mother-to-child transmission, disease progression and psychological impact. Anti-retroviral treatments (ART) are known to have many drug-drug interactions, causing a dilemma among physicians in choosing the most suitable contraception for women living with HIV (WLHIV). One of the suitable choices is the long-acting reversible contraceptive (LARC), such as contraceptive implants, but this method is not without issues. This case illustrates an Implanon failure that led to an unintended pregnancy in an HIV-positive woman on anti-retroviral treatment and suffered from depression. Contraceptive implant failure has been reported in co-administration with Efavirenz-based anti-retroviral therapy, with studies demonstrating a decline in serum concentrations of etonogestrel and levonorgestrel.
- Full text:2026071615154682950BIMJ2024-20-24-28.pdf
