$Unique_ID{BRK02460} $Pretitle{} $Title{What Is Arm Implanted Birth Control?} $Subject{children birth control medicine arm contraception norplant synthetic hormone progestin oral capsules implants skin prevent pregnancy lifestyle lifestyles medication medications medicines prophylactic prophylactics prophylaxis hormones ovary ovaries uterus child protection contraceptive contraceptions} $Volume{K-23,R-22,J-14} $Log{} Copyright (c) 1992,1993 Tribune Media Services, Inc. What Is Arm Implanted Birth Control? ------------------------------------------------------------------------------ QUESTION: Maybe she just wants to stay with the latest developments, or maybe the fact that I have 6 children and don't want any more influenced her, but now my doctor suggests I use a birth control medicine that would be stuck in my arm. I am not sure I understand all I should about this, but I would like to know if it is safe, and will it protect me completely? How fast does it take effect, and can I change my mind after they put it in my arm? Thank you for your very welcome help. ------------------------------------------------------------------------------ ANSWER: This method of birth control (or contraception) was just introduced into the United States in January of 1991. It is called "Norplant". Previously it had been used by more than 280,000 women in 17 countries. A large number of clinical trials attest to both its effectiveness and safety. Here is how it works. A synthetic hormone, progestin, which is used in many other oral birth control preparations, is contained in miniature capsules. These capsules or "implants" are placed under the skin on the inside of the upper arm through tiny incisions. The doctor uses an instrument that looks very much like an ordinary hypodermic needle to perform this procedure, which is painless. (Yes, they use a local anesthetic to numb the arm.) Six implants are placed at the same time. There is enough hormone in these implants to last for five years, slowly releasing the hormone at a steady rate in enough quantities to prevent pregnancy. The hormone prevents the release of an egg from the ovary and helps close the opening to the womb, which prevents sperm from entering. It is the most effective method of birth control available today. Though it is a long lasting method of birth control, it is not permanent as it can be removed at any time you change your mind. If this is your decision, you will once again be able to bear children. The implants are usually placed during the first week of your menstrual cycle, and begin working to prevent pregnancy within 24 hours. The most common side effect reported is one of irregular menstrual periods for the first several months. Some women report spotting between periods, or periods that are a bit longer than previously. These changes usually disappear after about 6 months. ---------------- The material contained here is "FOR INFORMATION ONLY" and should not replace the counsel and advice of your personal physician. Promptly consulting your doctor is the best path to a quick and successful resolution of any medical problem.