Family Planning

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ComplicationsUncommon:óóInfection at insertion site (most infections occur within the first 2months after insertion)Difficult removal (rare if properly inserted and the provider is skilled atremoval)Rare:óExpulsion of implant (expulsions most often occur within the first 4months after insertion)Correcting Misunderstandings (see also Questions and Answers, p. 128)Implants:óóóóStop working once they are removed. Their hormones do not remain ina woman’s body.Can stop monthly bleeding, but this is not harmful. It is similar to nothaving monthly bleeding during pregnancy. Blood is not building upinside the woman.Do not make women infertile.Do not move to other parts of the body.ó Substantially reduce the risk of ectopic pregnancy.112 <strong>Family</strong> <strong>Planning</strong>: A Global Handbook for Providers
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Collaborating and Supporting Organi
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Family PlanningA GLOBAL HANDBOOK FO
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ForewordsFrom the World Health Orga
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AcknowledgementsVera Zlidar, Ushma
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What’s New inThis Handbook?This n
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How to Obtain More Copiesof This Bo
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xii
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óóAs commonly used, about 8 pregn
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Facts About Combined Oral Contracep
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Medical Eligibility Criteria forCom
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Medical Eligibility Criteria for Co
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Providing Combined OralContraceptiv
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Woman’s situationNot breastfeedin
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Explaining How to Use1. Give pills
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“Come Back Any Time”: Reasons t
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óóóóóóóóóIf irregular blee
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óóóóóóóóóóóStarting trea
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Questions and Answers AboutCombined
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12. Can a woman safely take COCs th
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How Effective?Effectiveness depends
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Who Can and Cannot UseProgestin-Onl
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Using Clinical Judgment in Special
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Woman’s situationPartially breast
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Giving Advice on Side EffectsIMPORT
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Supporting the UserManaging Missed
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Managing Any ProblemsProblems Repor
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óóóóóóóBreast tendernessBrea
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Questions and Answers AboutProgesti
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10. Do POPs change women’s mood o
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What Pills Can Be Used as Emergency
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Correcting Misunderstandings (see a
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Dosing InformationFor specific prod
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When to Start Contraception After E
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Questions and Answers AboutEmergenc
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Hormoneand PillTypeCombined(estroge
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CHAPTER 4Progestin-OnlyInjectablesK
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Side Effects, Health Benefits, and
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New Formulation of DMPAA formulatio
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Medical Eligibility Criteria forPro
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Using Clinical Judgment in Special
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Woman’s situationFully or nearly
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Supporting the UserGive specificins
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óDiscuss why the client was late a
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New Problems That May Require Switc
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6. Do progestin-only injectables ma
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CHAPTER 5Monthly InjectablesKey Poi
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Medical Eligibility Criteria forMon
Page 200: 8. Do you have or have you ever had
Page 204: Providing Monthly InjectablesWhen t
Page 208: Woman’s situationNo monthlybleedi
Page 212: 6. Dispose of ó Do not recap, bend
Page 216: Managing Late InjectionsóóóóIf
Page 220: New Problems That May Require Switc
Page 224: 5Monthly Injectables5. Should the d
Page 228: OnlyEssentialstheCHAPTER 6Combined
Page 232: Providing the Combined PatchExplain
Page 236: OnlyEssentialstheCHAPTER 7CombinedV
Page 240: Providing the CombinedVaginal RingE
Page 244: CHAPTER 8ImplantsKey Points for Pro
Page 248: Side Effects, Health Benefits, Heal
Page 254: Medical Eligibility Criteria forImp
Page 258: Providing ImplantsWhen to StartIMPO
Page 262: Woman’s situationNot breastfeedin
Page 266: Inserting ImplantsExplaining the In
Page 270: Supporting the UserGiving Specific
Page 274: Managing Any ProblemsProblems Repor
Page 278: óóóóóóóóóóóóóóóóóN
Page 282: óóóóóóóóóMigraine headache
Page 286: 8. Do implants change women’s moo
Page 290: óStudies have found that the TCu-3
Page 294: Who Can and Cannot Use theCopper-Be
Page 298: Medical Eligibility Criteria for Co
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Intrauterine Devices for Women With
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Providing theIntrauterine DeviceWhe
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Woman’s situationFor emergencycon
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Explaining the Insertion ProcedureA
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Follow-up visitóA follow-up visit
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Switching From an IUD to Another Me
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óóóóóFor modest short-term rel
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óóóóóóSevere pain in lower ab
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óóóIf the woman does not want to
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8. Should antibiotics be routinely
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How Effective?One of the most effec
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Who Can and Cannot UseLevonorgestre
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Woman’s situationSwitching froma
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óóA small risk of pregnancy remai
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Why Some Women Say They LikeFemale
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Medical Eligibility Criteria for Fe
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Providing Female SterilizationWhen
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Because Sterilization Is PermanentA
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5.6.7.8.9.The provider makes a smal
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“Come Back Any Time”: Reasons t
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Questions and Answers AboutFemale S
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10. How can health care providers h
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óóóVasectomy is not fully effect
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Who Can Have a VasectomySafe for Al
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Medical Eligibility Criteria for Va
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Vasectomy TechniquesReaching the Va
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Supporting the UserExplaining Self-
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Helping UsersManaging Any ProblemsP
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4. Is it possible to check if a vas
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CHAPTER 13Male CondomsThis chapter
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Why Some Men and Women Say They Lik
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Explaining How to UseIMPORTANT: Whe
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What Condom Users Should Not DoSome
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infection, a mutually faithful sexu
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4. Will using condoms reduce the ri
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CHAPTER 14Female CondomsThis chapte
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Basic StepsImportant Details3. Ensu
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Tips for New UsersóóóóSuggest t
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óóóóóMild irritation in or aro
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CHAPTER 15Spermicides andDiaphragms
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Supporting the Spermicide UserEnsur
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Providing DiaphragmsWhen to StartWo
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Basic Steps Important Details4. Kee
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Managing Any ProblemsProblems Repor
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Questions and Answers AboutSpermici
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CHAPTER 16Cervical CapsKey Points f
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CHAPTER 17Fertility AwarenessMethod
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Providing Calendar-BasedMethodsWhen
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Calendar Rhythm MethodKeep track of
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(including chlorpromazine, thiorida
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Basal Body Temperature (BBT) Method
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Symptothermal Method (basal body te
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óIf she has had unprotected sex in
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CHAPTER 18WithdrawalKey Points for
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CHAPTER 19LactationalAmenorrhea Met
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Who Can Use the LactationalAmenorrh
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Providing the LactationalAmenorrhea
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Explaining How to UseBreastfeed oft
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Questions and Answers Aboutthe Lact
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CHAPTER 20Serving DiverseGroupsKey
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For some contraceptive methods ther
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Provide Accurate InformationTo info
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Female sterilization and vasectomy
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Family planning providers can help
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What Causes STIs?Several types of o
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Common signs and symptoms that may
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Strategy 3: If both partners know t
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MethodFemalesterilizationVasectomyS
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Screening and TreatmentScreening fo
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6. Will having sex with a virgin cu
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CHAPTER 22Maternal andNewborn Healt
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óóóA woman who is not fully or n
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Earliest Time That a Woman Can Star
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- To destroy HIV in breast milk, ex
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CHAPTER 23ReproductiveHealth Issues
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When to Start Contraceptive Methods
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3.Be alert to symptoms, injuries, o
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6.óóIf she wants, give her a cont
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Postpartum and postabortion infecti
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CHAPTER 24Family PlanningProvisionI
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óóCheck the client’s understand
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MethodMonthly andprogestin-onlyinje
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Wear glovesDo pelvicexaminationsonl
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Make Infection Prevention a HabitWi
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Regularly (monthly or quarterly, de
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APPENDIX AContraceptive Effectivene
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Condition Description Signs and Sym
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Cardiovascular DiseaseóóóóHigh
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ConditionCombined oralcontraceptive
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= Use the method= Do not use the me
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hernia; postpartum uterine rupture
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Glossaryabscess A pocket of pus sur
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endometrial cancer Malignant (cance
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jaundice Abnormal yellowing of the
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scrotum The pouch of skin behind th
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Aabdominal bloating and discomfort.
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community-based distribution...317c
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genital warts...279, 284-285gloves.
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lubricants...274for female condoms.
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post-exposure prophylaxis...209, 28
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unexplained vaginal bleeding...40,
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MethodologyThis handbook, one of th
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p. 250 Institute for Reproductive H
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Comparing InjectablesCharacteristic
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Characteristic Male Condoms Female
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Correctly Using a Male Condom1. Use
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External AnatomyClitorisSensitive b
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Male Anatomyand How Contraceptives
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Identifying Migraine HeadachesFor w
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When she returns:óóIf she returns
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If You Miss PillsAlways take a pill
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Family Planning

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