IMPORTANT: Thorough counseling about bleeding changes and other side effects must come before inserting implants. Counseling about bleeding changes may be the most important help a woman needs to keep using the method without concern.

Describe the most common side effects
  • Changes in her bleeding pattern:
    • Irregular bleeding that lasts more than 8 days at a time over the first year.
    • Later, regular, infrequent, or no bleeding at all.
  • Headaches, abdominal pain, breast tenderness, and possibly other side effects.
Explain about these side effects
  • Side effects are not signs of illness. Lack of bleeding does not mean pregnancy.
  • Most side effects usually become less or stop within the first year.
  • Common, but some women do not have them.
  • Client can come back for help if side effects bother her or if she has other concerns.