Family Planning Series – Week 5:

 Contraceptive Implants 

Contraceptive implants are small, flexible rods inserted under the skin of a woman’s upper arm. They slowly release a hormone (progestin) to prevent pregnancy.  

⏳ Duration  

- 3 years: Single-rod implant (e.g., Implanon/Nexplanon).  

- 5 years: Two-rod implants (e.g., Jadelle).  

⚙️ How do they work?  

1. Prevent ovulation.  

2. Thicken cervical mucus, making it harder for sperm to reach the egg.  

3. Thin the uterine lining, reducing the chance of implantation.  

🌟 Advantages  

✅ Highly effective (>99%).  

✅ Long-term protection (3–5 years).  

✅ No daily pill needed.  

✅ Rapid return of fertility after removal.  

✅ Safe for breastfeeding women and for those who cannot take estrogen.  

⚠️ Disadvantages / Side effects  

- Irregular bleeding or spotting (especially in the first 6–12 months).  

- Headaches, mood changes, or acne.  

- Possible weight changes or breast tenderness.  

- Requires trained provider for insertion and removal.  

- Does not protect against HIV/STIs (condoms are still essential).  

📋 Clinical Guidelines  

- Before insertion: Take a medical history, rule out pregnancy, and provide counseling.  

- Timing of insertion:  

   • Within first 5 days of cycle → protection is immediate.  

   • At any other time → use backup (condoms) for 7 days.  

- Special groups: Safe for breastfeeding (from 6 weeks postpartum).  

- Follow-up: 

Only if side effects occur. Removal/replacement must be done by a trained provider.  

- Seek medical advice if: bleeding is heavy, implant is not palpable, or severe side effects occur.  

💡 Key Message  

Implants are one of the most reliable and low-maintenance family planning methods, ideal for women seeking long-term contraception without daily effort. Always consult your doctor to confirm if this method is right for you.  

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