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Jadelle

Nepal CRS Company has been providing the services of Jadelle - a two rod implant, since 2008. The product was initially launched in Kathmandu Valley.  Jadelle replaced the six rod Norplant that was in use before it. The two rod implant is marketed by CRS at Rs.350 exclusive of service charge and the service is available through Pariwar Swastha Sewa Network (PSSN), a network of gynecologists and obestrician.

What Are Implants?

Small plastic rods or capsules, each about the size of a match stick, that release a progestin like the natural hormone progesterone in a woman’s body.

A specifically trained provider performs a minor surgical procedure to place the implants under the skin on the inside of a woman’s upper arm. Do not contain estrogen, and so can be used throughout breastfeeding and by women who cannot use methods with estrogen.

Many types of implants:

• Jadelle: 2 rods, effective for 5 years
• Implanon: 1 rod, effective for 3 years (studies are underway to see if it lasts 4 years)
• Norplant: 6 capsules, labeled for 5 years of use (large studies have found it is effective for 7 years)
• Sinoplant: 2 rods, effective for 5 years

Work primarily by:

• Thickening cervical mucus (this blocks sperm from meeting an egg)
• Disrupting the menstrual cycle, including preventing the release of eggs from the ovaries (ovulation)

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.

Return of fertility after implants are removed: No delay    
Protection against sexually transmitted infections (STIs): None

Side Effects, Health Benefits, Health Risks, And Complications

Side Effects
Some users report the following:

Changes in bleeding patterns including:

First several months:

• Lighter bleeding and fewer days of bleeding
• Irregular bleeding that lasts more than 8 days
• Infrequent bleeding
• No monthly bleeding

After about one year:

• Lighter bleeding and fewer days of bleeding
• Irregular bleeding
• Infrequent bleeding

Implanon users are more likely to have infrequent or no monthly bleeding than irregular bleeding lasting more than 8 days.

Other symptoms may include:

Headaches, Abdominal pain, Acne (can improve or worsen), Weight change, Breast tenderness, Dizziness, Mood changes, Nausea