Page 372 - كتاب تمريض نسا الاكتروني
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                                                            Implants


               Silastic capsules of Progesterone are inserted under the skin (subdermal) of medial

               side of the upper arm


                   •  1-Norplant (6 cap ) of levonorgestrel for 5 years

                   •   2-Implanon (1 cap of etonogesterol for 3 years)



                Norplant



                   •  6 capsules of progesterone are inserted under the skin (subdermal) of medial

                       side of the upper arm in a fan shaped manner.


                Action



                   •  Thickening of cervical mucus making it difficult for sperm to enter the uterine

                       cavity


                   •  Preventing  ovulation


                   •  Cause atrophic changes in the endometrial


                Advantage



                   •  Safe and preventing pregnancy


                   •  Easy to use no action needs taken at time of inter course


                   •  It's long acting but reversible

                   •  It contains no estrogen so can be used by women who are breast feeding



                Disadvantage



                   1-Insertion and removal be carried out by health professional



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