The contraceptive implant is about the size of a matchstick and is very thin, similar to a toothpick 2mm diameter and 1. It is placed just below the surface of the skin in the upper arm.
For the first three to five years after it is implanted, the implant will release a constant dose of synthetic progestin hormones into the bloodstream. Progestin prevents the ovaries from releasing eggs and thickens cervical mucus, making it harder for sperm to travel to the womb to fertilize an egg. The implant does not contain estrogen so it carries very little risk of blood clotting.
In the U. For someone who wishes to use a hormonal implant to prevent pregnancy, she must not be pregnant when the implant is inserted. A medical provider will apply a local anesthetic to the inside of the upper arm and insert the implant under the skin with a special needle.
Because the skin is numbed, you should not feel pain from the placement of the implant although the needle stick for the injection of the anesthetic might cause slight pain. A doctor or other trained provider will apply a local anesthetic to the area where the implant was placed. After making a small incision near the implant, they will pull it out from under the skin.
Once the implant is removed, the contraceptive effects will quickly wear off within days. It only takes a few minutes to remove, using a local anaesthetic.
The implant does not protect you from STIs. You should use a condom as well if you think you are at risk of an STI. A small procedure is required to fit and remove the implant, this only takes a few minutes, using a local anaesthetic. The implant can change your periods significantly. This varies from woman to woman — you may have no bleeding at all, or more prolonged, more infrequent or irregular bleeding.
This is not harmful but may be inconvenient. Most women can use the implant, but your clinician will ask about your family and medical history to determine whether or not the implant is the best method for you.
It also may not be suitable for women who have or have had certain health conditions. The area of skin where the implant has been fitted can become infected. The skin will be cleaned and may be treated with antibiotics. Periods may change significantly: bleeding may be prolonged or infrequent, or you will have no bleeding. If short term symptoms do not go after a few months, or if you have prolonged or severe headaches, you should talk to your sexual health clinic or GP. Local anaesthetic causes a complete loss of pain sensation to a specific area of your body without making you lose consciousness.
It works by blocking the nerves from the affected part of your body so that signals can't reach your brain. You will not be able to feel any pain during the procedure but you may still feel some pressure or movement. It only takes a few minutes to lose feeling in the area where local anaesthetic is given. No fees have been received by Organon or paid to the HCPs for inclusion in this locator directory.
You are ultimately responsible for the selection of an HCP and it is an important decision that you should consider carefully. This HCP locator is just one source of information available to you. Patient Information Prescribing Information. You may have: Longer or shorter bleeding during your period No bleeding at all during the time of your period Spotting between your periods Varied amounts of time between your periods Tell your healthcare provider right away if: You think you may be pregnant Your menstrual bleeding is heavy and prolonged Other frequent side effects that cause women to stop using NEXPLANON include: Mood swings Weight gain Headache Acne Depressed mood Other common side effects of NEXPLANON: Headache Vaginitis inflammation of the vagina Weight gain Acne Breast pain Viral infections such as sore throats or flu-like symptoms Stomach pain Painful periods Mood swings, nervousness, or depressed mood Back pain Nausea Dizziness Pain Pain at the site of insertion Implants have been reported to be found in a blood vessel, including a blood vessel in the lung.
Do not use NEXPLANON if you: Are pregnant or think you may be pregnant Have, or have had blood clots, such as blood clots in your leg deep venous thrombosis , lungs pulmonary embolism , eyes total or partial blindness , heart heart attack , or brain stroke Have liver disease or a liver tumor Have unexplained vaginal bleeding Have breast cancer or any other cancer that is sensitive to progestin a female hormone , now or in the past Are allergic to anything in NEXPLANON Tell your healthcare provider if you have or have had any of the conditions listed above.
In addition, talk to your healthcare provider about using NEXPLANON if you: Have diabetes Have high cholesterol or triglycerides Have headaches Have gallbladder or kidney problems Have a history of depressed mood Have high blood pressure Have an allergy to numbing medicines anesthetics or medicines used to clean your skin antiseptics.
These medicines will be used when the implant is placed into or removed from your arm. Problems with insertion and removal The implant may not be placed in your arm due to a failed insertion.
Other problems related to insertion and removal are: Pain, irritation, swelling, or bruising at the insertion site Numbness and tingling at the insertion site Scarring, including a thick scar called a keloid around the insertion site Infection Scar tissue may form around the implant making it difficult to remove The implant may come out by itself.
You may become pregnant if the implant comes out by itself. Use a back-up birth control method and call your healthcare provider right away if the implant comes out The need for surgery in the hospital to remove the implant Injury to nerves or blood vessels in your arm The implant breaks making removal difficult Ectopic pregnancy If you become pregnant while using NEXPLANON, you have a slightly higher chance that the pregnancy will be ectopic occurring outside the womb than do women who do not use birth control.
Ovarian cysts Cysts may develop on the ovaries and usually go away without treatment, but sometimes surgery is required to remove them. Some examples of serious blood clots are blood clots in the: Legs deep vein thrombosis Lungs pulmonary embolism Brain stroke Heart heart attack Eyes total or partial blindness The risk of serious blood clots is increased in women who smoke. Other risks A few women who use birth control that contains hormones may get: High blood pressure Gallbladder problems Rare cancerous or noncancerous liver tumors Broken or bent implant If you feel that the implant may have broken or bent while in your arm, contact your healthcare provider.
Contact your healthcare provider right away if you have: Pain in your lower leg that does not go away Severe chest pain or heaviness in your chest Sudden shortness of breath, sharp chest pain, or coughing blood Symptoms of a severe allergic reaction, such as swollen face, tongue or throat, or trouble breathing or swallowing Sudden severe headache unlike your usual headaches Weakness or numbness in your arm or leg, or trouble speaking Sudden partial or complete blindness Yellowing of your skin or whites of your eyes, especially with fever, tiredness, loss of appetite, dark-colored urine, or light-colored bowel movements Severe pain, swelling, or tenderness in the lower stomach abdomen Lump in your breast Problems sleeping, lack of energy, tiredness, or you feel very sad Heavy menstrual bleeding Felt that the implant may have broken or bent while in your arm.
You should not use NEXPLANON if you are pregnant or think you may be pregnant; have or have had blood clots; have liver disease or a liver tumor; have unexplained vaginal bleeding; have breast cancer or any other cancer that is sensitive to progestin a female hormone , now or in the past; or are allergic to anything in NEXPLANON.
Talk to your healthcare provider about using NEXPLANON if you have diabetes, high cholesterol or triglycerides, headaches, gallbladder or kidney problems, history of depressed mood, high blood pressure, allergy to numbing medicines anesthetics or medicines used to clean your skin antiseptics. If you cannot feel the NEXPLANON implant, contact your healthcare provider immediately and use a non-hormonal birth control method such as condoms until your healthcare provider confirms that the implant is in place.
You may need special tests to check that the implant is in place or to help find the implant when it is time to take it out. However, you can return at any time to discuss any problems.
You should see your doctor or nurse if any of the following occur:. You can have an implant fitted at any time in your menstrual cycle if it is certain that you are not pregnant. If you have recently had a baby the implant can be put in at any time after the birth. If the implant is inserted on or before day 21, your contraceptive protection starts straightaway. You can't become pregnant in the first 21 days after delivery, so as long as you have it inserted any time up to day 21 you are protected.
If it is fitted later than this and you have had unprotected sexual intercourse, you may need a pregnancy test and emergency contraception. You should discuss this with your clinician. If you have had a termination of pregnancy or a miscarriage the implant can be put in at the same time, or in the first five days, and is effective immediately. Most side-effects caused by the contraceptive implant occur when you first start using the implant. They are not usually severe. The contraceptive implant does not cause 'thinning' of your bones osteoporosis.
It does not usually cause altered sex drive libido , but some women who have experienced other side-effects also say that their sex drive was reduced. Other symptoms, including mood swings or low mood, weight gain and breast tenderness, are commonly described.
However, the evidence that they are caused by the contraceptive implant is very unclear, as they seem to occur equally commonly in women using non-hormonal methods of contraception. If you have prolonged bleeding with the contraceptive implant your doctor or nurse can prescribe extra hormone tablets to suppress the bleeding until it settles by itself.
This way you keep the contraceptive cover, and the periods will usually settle down over time. This usually happens within three months of having the implant inserted. There is no strong evidence that the contraceptive implant makes women put on weight. Progesterone can do this, but more so when taken in higher doses than you receive from the contraceptive implant. It can also cause fluid retention initially - which will make your weight go up - but this is usually due to fluid rather than fat.
However, many women do feel that the contraceptive implant has made them gain weight. If this happens to you then this weight gain is likely to reverse when you stop using the implant. The early side-effects of the contraceptive implant are rather like the early symptoms of pregnancy.
This is not surprising, since the early symptoms of pregnancy are caused by progesterone. It is not unusual for women to feel they may be pregnant when they first have the implant. A pregnancy test will give you an accurate answer. Women who use some forms of hormone-based contraception appear to have a small increase in long-term risk of being diagnosed with breast cancer compared to women who don't use hormonal contraception. It is not known if this is also true of the contraceptive implant.
Apart from bruising and soreness, it is possible, although very unusual, to get a localised infection in your arm when the implant is put in. Insertion of the implant can leave a small scar. It is important to be able to feel the implant under the skin after insertion. There is a small risk of insertion error in which the implant is not actually inserted by the procedure. After taking levonorgestrel as emergency contraception the implant can be inserted immediately.
You should avoid sex or use a barrier method of contraception such as condoms for 7 days. In addition you should take a pregnancy test 3 weeks or so after the time you had unprotected sex.
If you took ulipristal acetate the implant should be inserted 5 days after taking the tablet.
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