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Family Planning: A Global Handbook for Providers

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Family Planning

A GLOBAL HANDBOOK FOR PROVIDERS

Vertical arrow pointing up showing the effectiveness of Progestin-Only Injectables. The bottom of the arrow is less effective and top of the arrow is more effective. A black bar is at the top of the arrow.How Effective?

One of the most effective and long-lasting methods:

  • Less than 1 pregnancy per 100 women using implants over the first year (5 per 10,000 women). This means that 9,995 of every 10,000 women using implants will not become pregnant.
  • A small risk of pregnancy remains beyond the first year of use and continues as long as the woman is using implants.
    • Over 5 years of Jadelle use: About 1 pregnancy per 100 women
    • Over 3 years of Implanon use: Less than 1 pregnancy per 100 women (1 per 1,000 women)
    • Over 7 years of Norplant use: About 2 pregnancies per 100 women
  • Jadelle and Norplant implants start to lose effectiveness sooner for heavier women:
    • For women weighing 80 kg or more, Jadelle and Norplant become less effective after 4 years of use.
    • For women weighing 70–79 kg, Norplant becomes less effective after 5 years of use.
    • These users may want to replace their implants sooner (see Question 9).

Return of fertility after implants are removed: No delay

Protection against sexually transmitted infections (STIs): None