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Family Planning: A Global Handbook for Providers

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Family Planning

A GLOBAL HANDBOOK FOR PROVIDERS

Who Can and Cannot Use Implants

Safe and Suitable for Nearly All Women

Nearly all women can use implants safely and effectively, including women who:

  • Have or have not had children
  • Are not married
  • Are of any age, including adolescents and women over 40 years old
  • Have just had an abortion, miscarriage, or ectopic pregnancy
  • Smoke cigarettes, regardless of woman’s age or number of cigarettes smoked
  • Are breastfeeding (starting as soon as 6 weeks after childbirth; however, see p. 129, Q&A 8)
  • Have anemia now or in the past
  • Have varicose veins
  • Are infected with HIV, whether or not on antiretroviral therapy (see Implants for Women With HIV)

Women can begin using implants:

  • Without a pelvic examination
  • Without any blood tests or other routine laboratory tests
  • Without cervical cancer screening
  • Without a breast examination
  • Even when a woman is not having monthly bleeding at the time, if it is reasonably certain she is not pregnant (see Pregnancy Checklist)

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