Family Planning

CHAPTER 8ImplantsKey Points for Providers and ClientsóóóóóImplants are small flexible rods or capsules that are placedjust under the skin of the upper arm.Provide long-term pregnancy protection. Very effective for 3to 7 years, depending on the type of implant, immediately reversible.Require specifically trained provider to insert and remove.A woman cannot start or stop implants on her own.Little required of the client once implants are in place.Bleeding changes are common but not harmful. Typically,prolonged irregular bleeding over the first year, and then lighter,more regular bleeding or infrequent bleeding.8ImplantsWhat Are Implants?óóóóóSmall plastic rods or capsules, each about the size of a matchstick,that release a progestin like the natural hormone progesterone in awoman’s body.A specifically trained provider performs a minor surgical procedure toplace the implants under the skin on the inside of a woman’s upper arm.Do not contain estrogen, and so can be used throughout breastfeedingand by women who cannot use methods with estrogen.Many types of implants:− Jadelle: 2 rods, effective for 5 years− Implanon: 1 rod, effective for 3 years (studies are underway to see ifit lasts 4 years)− Norplant: 6 capsules, labeled for 5 years of use (large studies havefound it is effective for 7 years)− Sinoplant: 2 rods, effective for 5 yearsWork primarily by:– Thickening cervical mucus (this blocks sperm from meeting an egg)– Disrupting the menstrual cycle, including preventing the release of eggsfrom the ovaries (ovulation)Implants109