INJECTABLES

INJECTABLE FAMILY PLANNING AND CONTRACEPTIVE METHOD





  • As shown by the pictures, injection are given at woman arm, hip or buttock
  • They  contain one or two contraceptive hormones ( progestrone or progestrone and oestrogen)
  • provide protection from pregnancy for one, two, or three months (depending on the type)
  •  About 61 percent of all women in Kenya who use modern contraceptive methods choose injectable contraceptives.

There are two types 

  • Progestin only Injectable Contraceptives ( POIC) - commony used
  • Combined Injectable Contraceptives (CICs) – not commonly used
 

Progestin-Only Injectable Contraceptives (POICs)  

Widely available in two options
  • Three month injectable contraceptives (13 weeks) Depo Provera (Depotmedroxyprogesterone acetate-DMPA)
  • Two month injectable contraceptives (8 weeks) Noristerat (Norethisterone enanthate-NET-EN). 
 

Combined Injectable Contraceptives (CICs)  

The CICs consist of a natural oestrogen plus a progestogen
Consist of two CIC formulations, both given at four-week (30 days) intervals
  • Cyclofem/ Cyclo-Provera,
  • Mesigyna/Norigynon,

NOTE:

The guidelines below refer to progestin-only injectables (2 months and 3 months injectable contraceptives)

Advantages of Injectable family planning and Contraceptives in Kenya  


Contraceptive Benefits  

  • They are highly effective and safe.
  • A pelvic exam is not required to initiate use.
  • They contain no oestrogen, so they do not have the cardiac and blood-clotting effects, which are associated with oestrogen containing pills and injectables.
  • These are long-acting methods: two or three months, depending on the type.
  • Confidentiality

Non-contraceptive Health Benefits

  • Absent periods, which might be beneficial for women with (or at risk of) anaemia
  • Decrease in sickle cell crises
  • Protection against endometrial cancer
  • Protection against uterine fibroids
  • Possible protection from symptomatic pelvic inflammatory disease
  • Possible prevention of ectopic pregnancy

  Side Effects and Limitations of Injectable Contraceptives  

  • Return of fertility may be delayed for about four months or longer after discontinuation.
  • They offer no protection against STIs, including hepatitis B and HIV;
  • This method is provider-based, so a woman must go to a health
  • Care facility regularly.
  • Use of injectables could be associated with the following side minor effects: 
– Menstrual changes, such as:
- Irregular bleeding
- Heavy and prolonged bleeding
- Light spotting or bleeding
- Absent periods, especially after one year of use
– Weight gain
– Headache
– Dizziness
– Mood swings
– Abdominal bloating
– Decrease in sex drive

Women Who Can Use Injectables Planning and Contraceptives in Kenya without Restrictions  



Both two months and three months injectable contraceptives are acceptable for all women between the ages of 18-45 with established menses who fall into his category
  • Women who had children or have never given birth
  • Women who want highly effective, long-term protection against pregnancy
  • Mothers who are breastfeeding (after four weeks postpartum)
  • Mothers who are not breastfeeding (immediate postpartum)
  • Women with fibroids, endometrial cancer, or benign breast disease
  • Women who cannot remember to take the pill everyday
  • Post-abortion clients
  • Women with anaemia, sickle cell disease, and thyroid disease
  • Women with STIs and PID
  • Women with viral hepatitis (acute/fl are, carrier, or chronic) and those with mild (compensated) cirrhosis.
  • Women with obesity (i.e., BMI greater than 30 kg/m2
  • Women receiving anticonvulsants (e.g., phenytoin, carbamazepine, barbiturates, primidone, topiramate, oxcarbazepine, or lamotrigine)

Women Who Can Use Progestin-Only Injectables Family Planning and Contraceptives in Kenya, with Extra Precautions 



 This catergory should seek medical consultation
  • Women who are younger than 18 or older than 45.
  • Decreased bone density
  • Heavy or irregular vaginal bleeding patterns.
  • Cervical cancer awaiting treatment
  • Migraine without aura.
  • From major surgery with prolonged bed hospitalization
  • Women on anticonvulsants such as phenytoin, carbamazepine, barbiturates, primidone, topiramate, and oxcarbazepine.
  • Gall bladder disease, symptomatic or asymptomatic.
  • Uncomplicated diabetes.

Women Who Should Not Use Progestin-only Injectable   Family Planning and Contraceptives in Kenya


  • Breastfeeding women less than four weeks birth
  • Women with severe liver cirrhosis
  • Women with benign (Hepatocellular adenoma) or malignant liver tumour (hepatoma)
  • Women with unexplained abnormal vaginal bleeding
  • Women with multiple risk factors for arterial cardiovascular disease (various combinations of older
  • Age, smoking, diabetes, and hypertension
  • Women with a current case of or history of ischaemic heart disease
  • Women with diabetes mellitus complicated by vascular disease
  • Men whose blood pressure is equal to or higher than 160/100, and women with vascular disease
  • Women with a current diagnosis or history of breast cancer

When to Start Using Injectable Family Planning and Contraceptives in Kenya  

A woman can start injectables at any time if it is reasonably certain she is not pregnant.
If she starts using an injectable within seven days after the start of her monthly bleeding, she will not need a back-up method.
If she starts using an injectable more than seven days after her monthly bleeding, she should use a backup method for the first seven days after injection.

Obtaining This Method

Level 4 and above (hospitals)
Level 3 (health centers, nursing and maternity homes)
Level 2 (dispensaries, HTC centers, private clinics)
Level 1 (outreach, including CHWs and mobile services), and home-based care (provided by a nurse or midwife)

Injectable contraceptives can be obtained from the following clinical providers:

Medical doctors
Clinical officers
Nurses and midwives

END INJECTABLE CONTRACEPTIVES .ANY QUESTION? ASK HERE. RESPONSE IN ATLEAST 4 HOURS TO YOUR MAIL
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13 comments:

  1. Good Information but... 1001 spelling errors!

    ReplyDelete
  2. thank you for giving much information i appricite

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  3. What age does one have to be to get a 3 month injection, i inquired from a certain clinic and they said i need to have atleast one child. Is dat true..?

    ReplyDelete
    Replies
    1. we usually recommend the the three months injectable to those who have at least given birth but we can not hold from you if its the most viable option.

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  4. Good info.i had the coil but dint work on me.so twas removed.want the jadelle but my weight is above 80.is it ok?

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  5. what about one month injectable contraceptive

    ReplyDelete
    Replies
    1. One and two months contraceptive are new in Kenya not common and so I left them out intentionally but anyway am soon updating this blog to that effect

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  6. What do you advise for those who chose this methods and are having a problem in their marriage because the methods make people cold and intimacy between couples starts fading day by day, what can we do to avoid mipango ya kando

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    Replies
    1. The level at which three months contraceptives reduce desire level for sex is minimal and so it cannot wholey be blamed for your suffering matrimonial sex life so review the things that turns your woman on. Anyway intrauterine contraceptive devices are known to have no effect on sexual circles of a woman.

      Delete
  7. The level at which three months contraceptives reduce desire level for sex is minimal and so it cannot wholey be blamed for your suffering matrimonial sex life so review the things that turns your woman on. Anyway intrauterine contraceptive devices are known to have no effect on sexuall circles of a woman.

    ReplyDelete

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