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            1. Insertion and removal of the products

              Insertion of Sino-implant (II)/Levoplant involves a minor surgical procedure that typically takes only a few minutes and can be done in a doctor's?or?nurse's office. The implants are inserted into the inner side of either upper arm.

              To be immediately effective, the ideal time to insert Sino-implant (II)/Levoplant is within seven days of the onset of your last menstrual bleeding. If it is inserted at another time, you should use another contraceptive method (like condoms)?or?abstain from sex for the first seven days, after your implant is inserted.

              Before inserting Sino-implant (II)/Levoplant, the healthcare provider will ask questions about your medical history, perform a physical examination and make sure you are not pregnant. Then, the inside of the upper arm is cleaned and a local anesthetic is injected to numb the insertion site.

              A small incision is made in the numbed skin. The provider inserts the implants just under the skin with a specialized instrument called a trocar. After the procedure, the insertion site is closed with skin tape and bandaged. The site needs to be kept clean and dry for three days, until it heals. There may be some discoloration, bruising?or?swelling at the implant site for a few days after the insertion but these should not interfere with your normal activities.

              Sino-implant (II)/Levoplant??is licensed for either three?or?four years use, depending on the country registration status, but you can have your? Sino-implant (II)/Levoplant?removed?at any time.Return to fertility occurs without delay after removal. If you want to continue using Sino-implant (II)/Levoplant after you have completed its lebeled duration of use, the first set must be removed and a new set inserted.

              Removal of Sino-implant (II)/Levoplant involves a minor surgical procedure but may be more difficult than its insertion and leave a small scar. As with insertion, the area of the implant is cleaned and a local anesthetic is injected into the arm to numb the removal site. A small incision is made where the two rods meet. The provider pushes the implant toward the incision and the implants are gently removed using small forceps. The arm is bandaged to allow the incision to heal. Bruising may occur at the site following removal. In cases where removal of the implants has been difficult, there have been reports of pain, numbness, tingling, and scarring of the upper arm.

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