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Progestin-only injectables and implants:
- Bleeding irregularities likely
- Return to fertility
- delayed with injectables
- immediate upon removal of implants
- Use condoms if at risk for STIs
Implants:
- Appropriate for those wanting long-term method
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For these methods, counseling about bleeding irregularities
and return to fertility is important. Users of progestin-only
injectables and implants often experience irregular bleeding,
spotting or amenorrhea, which may be of concern to young adults.
Young women need to know that bleeding irregularities may happen
and that this doesn't mean anything is wrong. Bleeding irregularities
are less of a problem with the monthly injectables that contain
both estrogen and progestin. Unlike the pill, progestin-only
injectables often cause a delay in return to fertility. About
50 percent of women conceive within 10 months after the last
injection, and more than 90 percent are fertile again by 24
months. With implants, fertility returns immediately upon removal.
If at risk for STIs, a woman should also use condoms.
Implants are more appropriate for those wanting a long-term
method and where access to removal is easily available. Early
discontinuation of implants has been associated with young age
and low parity.
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