Are removals more difficult than insertions?
Yes. Although most removals are not difficult, the procedure usually takes longer than insertion. Some rods may be harder than others to locate and remove if they were inserted too deeply or if temporary swelling of the arm occurs during removal. A small incision about 4 mm long will be made, through which both rods are removed. If the clinician is unable to remove both rods during one procedure, the woman should return after her arm heals. Women should be informed of the possibility of needing a subsequent visit for removal and should not be alarmed if this is necessary. Clinicians should feel the insertion site to be sure they can locate both rods before attempting to remove them. If they cannot be felt, the rods can be located through x-ray, ultrasound, or compression mammography, all of which are painless procedures. Removal complications or difficulties were reported in 7.5 percent of more than 1,100 women who had Jadelle removed. Complications (some related to deep placement) inc
