NEW CONTRACEPTIVE HYPODERMIC
IMPLANT
A hypodermic implant registered by the Population Council under the trade mark NORPLANT is a high-efficient contraceptive of long-term reversible action. It has been included in the register of contraceptives relatively not long ago. NORPLANT consists of six soft hollow capsules made of silicon rubber.Each capsule is 2.4 mm on diameter and 34 mm in length and contains 36 mg of levonorgestrel. Capsules are implanted under the skin of a shoulder under local anesthesia. After being injected they are being feeled but are invisible. Contraceptive effect is enabled by slow continious discharge of levonorgestrel into bloodflow. Contraception begins in 24 hours after the injection and durates about five years. Fertility is restored almost right away after removing capsules.
Action:
It is supposed that NORPLANT similar to other medications containing progestagen effects as follows:
NORPLANT is an appropriate method for the most women of reproductive age, especially is recommended to the women who:
Absolute contraindications:
NORPLANT should not be given to women with:
Absolute contraindications for the certain period:
Relative contradindications:
- severe anemia, blooid coagulation disorders, or supposed anticoagulant therapy.
Special cases
- lactation periods (Hormonal methods are not the best choice for nursing mother. But contraception with only prostagen and nothing more is not a contraindication for nursing women. They can use NORPLANT in six weeks after delivery.
- body weight. If a woman weighs more than 60 kg, a risk to become pregnant after the second year of using the implant is more than for the women with a less weight.
Side effects and problems
Side effects might be manifested in the form of menstrual period transformations, headaches, putting on weight or depression. If health problems arised including pain in thorax, supposed cancer, severe depression, severe incurable hemorrhage from the vagina, you should consult experienced personnel and be examined apropos of removing of the implant.
Bringing in and removing of the NORPLANT
Bringing in and removing could be performed only by physicians specially trained in this procedure, in a clinic apporopriately equipped. Procedures should be performed provided sterility was observed. During 1-2 days in the point of introducing capsules one might feel some discomfort or oedema. The place where the implant was introduced should be moistened by water during three days. A contraceptive effect begins immediately after introducing the capsules and durates up to their removal. Disorders of the periods are possible, but it does not mean decreasing of a contraceptive effect.
The first visit to a doctor should be made not later than a month after introducing. One should be immediately consulted in a clinic if one of the following problems arose:
If you took a medical advice in some medical institution as regards of some indisposition even not assosiated with NORPLANT you should tell about ising it. You should be observed by a doctor during a month after introducing the implant and after this at least once a year. After five years of the contraceptive to be introduced another implant might be introduced if the previous one were removed.

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