OVERVIEW OF THE INCIDENCE OF SIDE EFFECTS AMONG IMPLANT CONTRACEPTIVE USERS AT THE PURWANEGARA I COMMUNITY HEALTH CENTER, BANJARNEGARA REGENCY

Hanna Maulita; Arlyana  Hikmanti; Silvia Rizky Syah  Putri; Diyah Eva  Harniyati

Authors

Hanna Maulita Universitas Harapan Bangsa
Arlyana Hikmanti Universitas Harapan Bangsa
Silvia Rizky Syah Putri Universitas Harapan Bangsa
Diyah Eva Harniyati Universitas Harapan Bangsa

Keywords:

Implant Contraception, Side Effects, Acceptors, Menstrual Disorders, Weight Gain

Abstract

Background: Implant contraception is one of the most effective long-term contraceptive methods and is widely used by women of reproductive age. Despite its effectiveness, implant use may cause several side effects due to the influence of progestin hormones, including menstrual disorders, weight gain, and acne. Side effects that are not managed appropriately may reduce user satisfaction and increase the risk of discontinuation. Objectives: This study aimed to describe the incidence of side effects among implant contraceptive acceptors based on age, parity, and duration of use at Purwanegara I Public Health Center, Banjarnegara Regency. Methods: This study employed a quantitative descriptive design with a cross-sectional approach. The population consisted of 179 implant contraceptive acceptors, and 45 respondents were selected using purposive sampling. Data were collected through medical records and observation sheets. Data analysis was performed using univariate analysis to obtain frequency distributions and percentages. Results: The study results indicate that the most common side effect experienced by contraceptive implant users was weight gain (reported by 24 respondents or 53.3%), followed by spotting (19 respondents or 42.2%) and menorrhagia (14 respondents or 31.1%). Weight gain was most frequently observed among respondents aged 20–35 years, multiparous women, and those with a duration of use exceeding two years. Conclusions: Implant contraceptive use may result in various side effects, particularly weight gain and menstrual disorders. Proper counseling, education, and routine monitoring by healthcare providers are important to improve user comfort and continuation of implant contraceptive use.

References

Ariyanti, D., & Daryanti, M. S. (2024). Hubungan usia dan paritas ibu dengan pemilihan alat kontrasepsi kb implan di puskesmas Kaloran Temanggung. Prosiding Seminar Nasional Penelitian dan Pengabdian Kepada Masyarakat LPPM Universitas ’Aisyiyah Yogyakarta, 2, 2072–2077.

Astari, P. (2025). Kontrasepsi Implan: Farmakokinetik, Indikasi, Kontraindikasi. Unram Medical Journal, 14(1), 14–19. https://doi.org/10.29303/jk.v14i1.5802

Astuti, Anggriani, & Adhalia. (2023). Penggunaan KB Implant Dengan Kenaikan Berat Badan Dan Siklus Haid Pada Ibu. Cendekia Medika: Jurnal Stikes Al-Ma`arif Baturaja, 8(2), 356–364. https://doi.org/10.52235/cendekiamedika.v8i2.251

Dinas Kesehatan Kabupaten Banjarnegara. (2024). Profil Kesehatan 2024 (2024th). Dinas Kesehatan Kabupaten Banjarnegara.

Faharuddin, Istiqomah fajriyah yulati, husnul wahyu mahmudah, & vina alistiana. (2025). Data Dan Informasi Kependudukan Dan Pembangunan Keluarga (2025th edn). BKKBN. http://bkkbndiy.id/

Julianda, D. shabrina, Kabuhung, E. ivana, & Hidayah, N. (2025). Hubungan Lama Penggunaan Alat Kontrasepsi Implant Dengan Kejadian Gangguan Menstruasi Di Wilayah Kerja Puskesmas Tatah Makmur. 01/08/2025, 5. https://doi.org/10.63004/snsmed.v4i4

Kamaruddin, M., Sumarni, Ganie, A. H. G., Misnawaty, Misriyani, Rivandi, A., & Purnamasari, D. (2020). Faktor-Faktor Yang Berhubungan Dengan Kurangnya Minat Ibu Terhadap Penggunaan Metode Kontrasepsi Implant Di Wilayah Puskesmas Ponre Kecamatan Gantarang Kabupaten Bulukumba. Medika Alkhairaat : Jurnal Penelitian Kedokteran dan Kesehatan, 2(1), 37–48. https://doi.org/10.31970/ma.v2i1.49

Kartini, Suhrawardi, Kristiana, E., & Isnaniah. (2025). Analisis Faktor Umur Dan Paritas Yang Berhubungan Dengan Penggunaan Kontrasepsi Implan Di Puskesmas Darul Azhar Tahun 2024. 2025. https://ipssj.com/index.php/ojs/article/view/65

Laelah, N., & Aprilina, H. D. (2020). Hubungan Durasi Pemakaian Alat Kontrasepsi Implan Dengan Perubahan Berat Badan Dan Gangguan Siklus Menstruasi Di Wilayah Kerja Puskesmas Padamara. 2020.

Magumi, N., & Qur’andini, D. (2025). Hubungan Pendarahan Bercak Ringan (Spoting), Peningkatan Berat Badan dan Perubahan Siklus Haid Dengan Pemakaian Kontrasepsi Implan Pada Akseptor KB di Puskesmas Pegayut Kabupaten Ogan Ilir. Zenodo. https://zenodo.org/badge/DOI/10.5281/zenodo.16908488.svg

Nugraheni, H., Rahmatiningtyas, I., & Pratamamningtyas, S. (2025). Analisis Faktor Yang Mempengaruhi Penggunaan Alat Kontrasepsi Implan Di Puskesmas Wates. 30/juni/2025, 16(1). https://doi.org/10.35966/ilkes.v16i1.398

Qomah, I. (2025). Hubungan Lama Pemakaian Dengan Efek Samping Kb Implan Wilayah Kerja Puskesmas Wanaraya. Hubungan Lama Pemakaian dengan Efek Samping KB Implan Wilayah Kerja Puskesmas Wanaraya https://doi.org/10.69693/wolgitj.v2i2.

Sari, Maharani, P., & Tarigan, I. (2024). Hubungan Efek Samping Dengan Kejadian Dropuot Penggunaan Alat Kontrasepsi Bawah Kulit (akbk) Di Pmb Erna Wati Kecamatan Lawe

Sumur Kabupaten Aceh Tenggara Tahun 2024. 2024.https://doi.org/10.62383/quwell.v1i4.906

Sholichah, N., & Lathifah, U. (2022). Faktor-Faktor Yang Mempengaruhi Pemilihan Kb Implant Di Puskesmas Seborokrapyak Kecamatan Banyuurip Kabupaten Purworejo. Jurnal Komunikasi Kesehatan, 13(2). https://doi.org/10.56772/jkk.v13i2.258

Triwahyuningsih, R. Y., Kurnia, S. A., Asma, S. S., Winazli, S., & Rahayu, A. S. (2025). Literature Review: Efek Samping Kb Implant Pada Wanita Usia Subur. 6.

Wahyuni, D. E. D., Sulistyo, D., Susanti, & Widiatiningrum, T. (2022). Pengaruh Alat Kontrasepsi Hormonal Terhadap Berat Badan, Tekanan Darah Dan Siklus Menstruasi. Dinamika Kesehatan: Jurnal Kebidanan Dan Keperawatan, 14(2) https://doi.org/10.33859/dksm.v14i2.

Yayanzi, Suprida, Anggraini, A., & Mastina. (2023). Hubungan Pengetahuan, Takut Efek Samping Dan Paritas Dengan Penggunaan Kb Implan Di Puskesmas Lubuk Batang. 2023. http://dx.doi.org/10.30633/jsm.v6i2.1973