Contraceptive implants are a reliable, long-lasting birth control option, often referred to as long-acting reversible contraception (LARC). These implants consist of a small, flexible plastic rod, roughly the size of a matchstick, inserted beneath the skin in the upper arm. They work by steadily releasing a low dosage of the hormone progestin.
Progestin helps prevent unwanted pregnancy by temporarily stopping ovulation and thickening cervical mucus. As a result, it makes it difficult for sperm to get to the egg. Additionally, it thins the uterus lining, reducing the chance of a fertilized egg attaching to the uterus.
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The contraceptive implant is suitable for many women, but it may not be appropriate for everyone. Your physician or nurse will discuss whether it’s the right option for you.
Overall, you should avoid using the implant if you:
On the other hand, certain medications can reduce the effectiveness of the implant, including:
If you are using any of these, you will have to use other contraception or consider switching to a method that won’t be affected by your prescription. Ensure that you inform your doctor about your implant if you’re given any new medication.
Your initial appointment, often conducted by phone, will involve discussing your medical history, exploring contraceptive options, and assessing your suitability for the implant before scheduling the procedure. In addition, your GP will inform you of the benefits and risks of different contraceptive methods and explain the insertion procedure in detail.
Before undergoing the procedure, you will be required to provide informed consent. Ensure that you ask any questions to ensure you’re fully informed before giving your consent.
A trained GP or nurse usually carries out the contraceptive implant insertion. Before the procedure, a local anesthetic injection is first administered to numb the area. A specialized device is then used to insert the implant just beneath the skin, and the small wound is dressed. The dressing should remain in place and be kept dry for at least 48 hours.
After the implant is inserted, you may feel some discomfort once the anesthetic wears off. However, over-the-counter pain relief, such as paracetamol, can help. You can also conduct your daily activities as usual.
The area near the implant might feel tender or bruised for up to a week. After it fully heals, accidental knocks to the implant won’t cause harm. Mild itching around the insertion site can also occur but usually subsides within a few months. Over-the-counter antihistamines like Piriton or cetirizine can help ease the itchiness.
If you notice pus or bleeding or experience intense pain in the area around the implant, you may have a skin infection, and treatment with antibiotics may be required.
Reach out for medical assistance if you experience the following:
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