| A client can switch methods at
any time. If she has been taking the pills correctly and consistently, you can be
reasonably sure she is not pregnant. A back-up
method is not required. However, the provider may want to recommend that she continue to
take her COC the day she gets her first injection or the implants.
Some clinicians recommend that the woman finish her pack
of pills to delay the onset of her next bleed. |
Injectables and NORPLANT®
Implants are usually effective within 24 hours, unless the woman already has fertile
cervical mucus. The woman should take her pill as a back-up, if she is not menstruating,
because there is a slight risk of conception from unprotected intercourse during those 24
hours until the injectable or implants become effective.
- Technical Guidance Working Group.
Recommendations for updating selected practices in contraceptive use: results of a
technical meeting. Volume I. Chapel Hill, NC: INTRAH, 1994.
- NORPLANT® Levonorgestrel Implants: a
summary of scientific data. New York: The Population Council, 1990, p 2.
|
