Summary of consultation/procedure
Box 7: Summary of Progestogen only Implant consultation/procedure
| Discuss all contraception options |
| Medical eligibility |
Avoid if:
- On liver enzyme inducers
- History of breast cancer
- Unexplained vaginal bleeding
- Develop CVD/stroke while using POIm
- Significant liver disease
|
| Discuss possible side effects |
- Altered bleeding (often persistent)
- Weight gain
- Headaches
|
- Acne
- Reduced libido
- Skin atrophy
|
| Explain procedure |
|
Rule out pregnancy
|
| Consent |
| Extra precautions needed |
- If starting within 5 days of cycle none needed
- After 5 days, extra precautions for 7 days
- If switching from POP, CHC or IUC extra precautions for 7 days*
|
| Insert & document |
- Only trained professional to insert
- Insert 8-10cm from medial epicondyle, sterile conditions
- Document site, batch number and expiry date
|
| Follow-up advice |
- Keep dry for at least 24hours
- Review if problems
- Date when POIm needs to be changed (3 years)
|
*Up to day 5 only applies to true cycles. These rules do not apply for women on CHC. For women on CHC, 7 days extra precautions are needed if inserted from day 3 of HFI and during first week of taking CHC. If POIm delivered week 2 or 3 then no extra precautions needed.
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