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Contraceptive Implant

Hormonal Method

  • Subcutaneous

  • Minimally Invasive

  • Long-Term (3–10 Years)

One or two small hormone-releasing silicone rods are placed under the skin by a healthcare provider.
Effective
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Details

Contraceptive implants are small flexible rods that are placed just under the skin of your upper arm by a healthcare professional. Depending on the type of implant, one or two rods are implanted.

The rods steadily release the hormone progestogen into your bloodstream, preventing the release of an egg from your ovary (ovulation). This hormone also thickens the mucus in your cervix to stop the sperm from entering your uterus.

The contraceptive implant provides very effective contraception for 3 to 5 years, depending on the type used.

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How to Use

Your trained healthcare provider will inject a local anaesthetic to numb the area on the inside of your upper arm. The implant is then inserted just under the skin. You will not need stitches.

The implant then releases a steady flow of progestogen over 3 to 5 years, depending on the type of implant. You can have it removed at any time by your healthcare provider, and your natural fertility will return very quickly.

PROS

  • A very effective form of contraception, with an effectiveness rate of 99.9%.
  • It does not interrupt sex.
  • It is suitable for women who want to avoid having to remember to take contraceptive pills or injections, and who want a long-acting, reversible contraceptive method.
  • It is useful for women who cannot use contraception that contains oestrogen.

CONS

  • It has to be fitted and removed by a trained healthcare professional.
  • You may feel some bruising, tenderness or swelling around the implant when it is first inserted.
  • There may be a change in your periods – they may become irregular, lighter, heavier or longer.
  • It does not protect you against sexually transmitted infections (STIs), such as HIV), so you may need to use condoms as well.

Side Effects

You may experience:

  • Changes in your monthly bleeding patterns, including:

First several months to a year:

  • Lighter bleeding and fewer days of bleeding

  • Periods that last longer

  • Irregular bleeding

  • Infrequent bleeding

  • No monthly bleeding

After about one year:

  • Lighter bleeding and fewer days of bleeding

  • Irregular bleeding

  • Infrequent bleeding

  • No monthly bleeding

These changes in bleeding are normal and are not harmful. If you find them bothersome, speak to your healthcare professional.

Other symptoms include:

  • Stomach pain
  • Acne (can improve or worsen)
  • Changes in weight
  • Tender breasts
  • Dizziness

  • Mood changes

  • Nausea

  • Headaches

FAQs

What are contraceptive implants?
Contraceptive implants are small flexible rods placed just under the skin of your upper arm by a healthcare professional. Depending on the type of implant, one to two rods are inserted.
Is the contraceptive implant noticeable to someone looking?
The implant is about the size of a thin matchstick, and people have it inserted under the skin of the inner side of the upper arm. Although one can feel it, it is not seen, except if someone is looking for it. At the site of insertion, there will be a tiny mark, but this isn’t very visible as a trained healthcare provider has inserted the implant.

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