• Females of the child bearing age release eggs (ova) from the ovaries (female sex organ), usually every 28 days. A pregnancy results when an egg combines with a sperm (fertilization). The main action of implants is to prevent this release of eggs (ova).
• In addition it thickens the cervical mucus making the sperm migration difficult, within the female reproductive tract.
• Also, it makes the uterine lining (lining of the womb) thin so that the implantation of the embryo (early pregnancy stage) will not take place.

• A very effective method 99.9%. Contraceptive effect is immediate if implanted within the first 5 days of period.

• If you want to postpone your first pregnancy for 3 – 5 years.
• If you want to space your pregnancies.
• If you have completed your family.
• When a method not interfering with sexual intercourse is needed.
• When an effective long term method is needed.

Who should not use Implants?

• Established or suspected pregnancy.
• Women with a history of breast cancer.
• Those who have abnormal vaginal bleeding.
• History of stroke or heart disease.
• History of liver disease.
• Diabetes and high blood pressure with complications.

• If you have regular monthly bleed:
  • Within first 5 days of the menses.
• If you are breast feeding :
  • After six weeks of delivery.
• Following abortion: 
  • If abortion occurred during first 3 months of pregnancy –implant is given within 1st week of abortion.

• Immediately after removal

• The implants should be inserted and removed at an institution under sterile conditions by trained personnel.
• A local anaesthetic will be given to make the procedure pain free.
• The capsules will be inserted on the inner aspect of the upper arm about 5 inches above the elbow joint.
• The outer bandage should be removed after 3 days, and the plaster removed after 5 days.
• Do not wet that area for 3 days after insertion.
• If there is bruising of that area,you can ferment with warm water. Follow up
• If you want to continue with the implants after the stipulated time of use is over, a second set can be inserted to the other arm.
• You can continue using Implants up to the age of 50 years.
• First follow up visit should be ideally done 4 -6 weeks after insertion but you should  come to the clinic if any problem arises.
• Breast examination, pap smears, blood pressure, blood sugar test and BMI should be done at follow ups annually

• Changes in your period – You won’t have your period every month, but instead have irregular, unpredictable bleeding. This is annoying but not a serious problem. Many women stop having their menstrual periods while on depo provera which is not a reason to worry. You will get your menstrual periods back within 6 to 18 months after you stop taking the injection.
• Weight gain – due to increased appetite. This can be controlled by regular exercise and taking a healthy diet.
• Headaches and dizziness.