<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2521-2281</journal-id>
<journal-title><![CDATA[Medicina clínica y social]]></journal-title>
<abbrev-journal-title><![CDATA[Med. clín. soc.]]></abbrev-journal-title>
<issn>2521-2281</issn>
<publisher>
<publisher-name><![CDATA[Facultad de Ciencias Médicas, Filial de Santa Rosa del Aguaray, Cátedra de Socioantropología]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2521-22812021000200072</article-id>
<article-id pub-id-type="doi">10.52379/mcs.v5i2.202</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Experiencia con el implante subdérmico en adolescentes en la Catedra y Servicio de Ginecología y Obstetricia]]></article-title>
<article-title xml:lang="en"><![CDATA[Experience with the subdermal implant in adolescents in the Department and Service of Gynecology and Obstetrics]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ramos]]></surname>
<given-names><![CDATA[Gabriela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Segovia]]></surname>
<given-names><![CDATA[Raquel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional de Asunción Facultad de Ciencias Médicas ]]></institution>
<addr-line><![CDATA[San Lorenzo ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2021</year>
</pub-date>
<volume>5</volume>
<numero>2</numero>
<fpage>72</fpage>
<lpage>75</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2521-22812021000200072&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2521-22812021000200072&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2521-22812021000200072&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  La tasa de fecundidad adolescente (15-19 años) de América Latina y el Caribe (ALC), con un valor de 73,2 por mil, se destaca por ser muy elevada, comparada con 48,9 a nivel mundial y 52,7 en los países en desarrollo.  Metodología:  Es un estudio observacional, descriptivo y temporalmente retrospectivo. El muestreo es no probabilístico de casos consecutivos. La población accesible son mujeres entre 12 y 19 años que aceptaron la aplicación del implante subdérmico como método anticonceptivo que acuden en el espacio Ñangareko del Servicio de Ginecología y Obstetricia, en el periodo de 1 año (2019 - 2020).  Resultados: Sobre los efectos adversos del implante subdérmico, el 79,4 % no nota cambios en el patrón menstrual, sin embargo, el 17,9 % tiene spotting y el 2,7 % amenorrea. El 5,4 % reporta cefalea, el 1,3 % informa alteración del humor o ansiedad. En cuanto a la tensión mamaria estuvo presente en el 0,4 % de los casos. El 4 % reportó dolor o irritación en la zona.  Discusión:  El uso del implante subdérmico ha demostrado ser un método seguro, de bajo coste, que no genera molestias ni efectos secundarios que hagan desistir a las mujeres de su uso, la seguridad de este método anticonceptivo está avalada por varias investigaciones sobre sus beneficios y seguridad.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  The adolescent fertility rate (15-19 years) in Latin America and the Caribbean (LAC), with a value of 73.2 per thousand, stands out for being very high, compared to 48.9 worldwide and 52.7 in developing countries.  Methods: It is an observational, descriptive and temporally retrospective study. The sampling is non-probabilistic of consecutive cases. The accessible population are women between 12 and 19 years of age who accepted the application of the subdermal implant as a contraceptive method who attended the Ñangareko space of the Gynecology and Obstetrics Service, in the period of 1 year (2019-2020).  Results:  Regarding the adverse effects of the subdermal implant, 79.4% did not notice changes in the menstrual pattern, however, 17.9% had spotting and 2.7% had amenorrhea. 5.4% report headache, 1.3% report mood disturbance or anxiety. Regarding breast tension, it was present in 0.4% of cases. 4% reported pain or irritation in the area.  Discussion:  The use of the subdermal implant has proven to be a safe, low-cost method that does not generate discomfort or side effects that make women give up its use, the safety of this contraceptive method is supported by several investigations on its benefits and safety.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Ginecología]]></kwd>
<kwd lng="es"><![CDATA[Obstetricia]]></kwd>
<kwd lng="es"><![CDATA[Efectos adversos]]></kwd>
<kwd lng="es"><![CDATA[Anticonceptivos]]></kwd>
<kwd lng="en"><![CDATA[Gynecology]]></kwd>
<kwd lng="en"><![CDATA[Obstetrics]]></kwd>
<kwd lng="en"><![CDATA[Adverse effects]]></kwd>
<kwd lng="en"><![CDATA[Contraceptives]]></kwd>
</kwd-group>
</article-meta>
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