- Occur with almost all methods
- Must be discussed prior to and after making
method choice
- Usually not harmful and often diminish with time
Indonesia study: 3 of every 4 women
wanted more information on side effects
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Source: Amal, et al. Unpublished FHI report, 1997.
Slide 28
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Almost all contraceptive methods have some possible side effects.
Side effects are usually not harmful, but can be distressful
to a client who is not prepared for them.
Clients need to know about possible side effects before they
choose a method, as side effects may affect their decision about
which method to use. When choosing a method, clients should
decide if they are willing and able to tolerate possible side
effects.
Oral contraceptives may cause nausea, headaches, or spotting
between menstrual periods. Injectables and implants may cause
irregular or prolonged bleeding, or amenorrhea. IUDs may lead
to increased bleeding and pain during menses.
Providers need to pay attention to women who are concerned
about side effects and to take these concerns seriously. In
a survey of 500 Indonesian women, three-fourths said they wanted
more information on side effects to help them to choose a method.
After a client has selected a method, the provider should once
more clearly explain what side effects might occur and offer
ideas on how to manage them.
The provider needs to make sure the client understands that
side effects are usually not harmful and that they may diminish
or disappear with time as the body adjusts to the method. Providers
should also encourage clients to come back for additional counseling
if concerns arise about side effects. If a client is unhappy
with the side effects of a method, the provider can help that
client choose another method. This will increase client satisfaction
and good word-of-mouth reports on the family planning services.
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