Giving Specific Instructions
|Keep arm dry
- The user should keep the insertion area dry for 4 days. She can take off the gauze after 2 days and the adhesive bandage and surgical tape when the incision heals, usually after 3 to 5 days.
|Expect soreness, bruising
- After the anesthetic wears off, her arm may be sore for a few days. She also may have swelling and bruising at the insertion site. This is common and will go away without treatment.
|Length of pregnancy protection
- Explain that it is important to have implants removed before they start to lose effectiveness. She can have a new set of implants inserted if she wants.
- Discuss how to remember the date to return for implant removal and possible replacement.
- Give each woman the following information in writing on a reminder card, like the one shown below, if possible, and explain:
- The type of implant she has and in which arm
- Date of insertion
- Month and year when implants will need to be removed or replaced
- Where to go if she has problems or questions with her implants
How Can a Partner Help?
The client’s partner is welcome to participate in counseling and learn about the method and what support he can give to his partner. A male partner can:
- Support a woman’s choice of implants
- Show understanding and support if she has side effects
- Use condoms consistently in addition to the implant if he has an STI/HIV or thinks he may be at risk of an STI/HIV
- Help to remember when the implant is due for removal
"Come Back Any Time": Reasons to Return
Assure every client that she is welcome to come back any time—for example, if she has problems, questions, or wants another method; she has a major change in health status; or she thinks she might be pregnant. Also if:
- She has pain, heat, pus, or redness at the insertion site that becomes worse or does not go away, or she sees a rod coming out.
- She wants the implants taken out, for whatever reason.
- It is time for the implants to be removed and, if she wishes, for new implants to be put in.
General health advice: Anyone who suddenly feels that something is seriously wrong with her health should immediately seek medical care from a nurse or doctor. Her contraceptive method is most likely not the cause of the condition, but she should tell the nurse or doctor what method she is using.