The contraceptive implant might sound a little space age initially but really it’s a highly effective, easy to hide contraceptive. About same size than a matchstick, the implant is placed just below the skin of your upper arm where it constantly releases the hormone progestogen in small doses from a reservoir into your blood stream. The hormone keeps your ovaries from releasing eggs but also thickens your cervical mucus making it hard for sperm to move around in the womb and fertilize an egg.
Once you’ve decided, after the counseling by your healthcare provider, that the contraceptive implant is the method for you, your healthcare provider will make sure that you are not pregnant and the implant can be inserted. After local anesthesia, a well-trained healthcare provider will numb a small area of your inner upper arm and insert the implant just underneath the surface with a special needle. Once the placement is finalized, there is little or nothing left to do or remember. Seriously, the implant releases small amounts of hormones into your blood over the course of up to 3 or 5 years, depending on the type. It is suitable for women who want highly effective long-acting reversible contraception and wish to avoid a daily, weekly or monthly regimen. It can be removed at any time with minor surgery by a well-trained healthcare provider. Once the implant is removed, the contraceptive effect wears off quickly and return to fertility, is similar to a woman who has never used a contraceptive at all.
PROS AND CONS
At 99.95%, it’s the most effective contraceptive method available
Suitable for women who want long-acting reversible contraception for up to 3 or 5 years and wish to avoid daily, weekly or monthly regimen
It doesn’t interrupt sex
It can offer an alternative to those affected by the hormone estrogen
It can be used when breastfeeding six weeks after childbirth
It may reduce heavy and painful periods for some women
It requires a trained healthcare provider for insertion and removal
It may initially cause a change in bleeding patterns
It may cause weight gain, breast and abdominal pain
Does not protect against HIV infection (AIDS) and other sexually transmitted infections (STIs)
LEARN HOW TO TALK ABOUT IT WITH:
Your healthcare provider knows the subject better than anyone; get the right answers for you
They know you better than anyone, and they’ve been through it too
You’re in this together, and not just in the bedroom, be honest
Why does the contraceptive implant have to be replaced after three or five years?
The implant contains a progestogen reservoir which is released in tiny doses during the three years or five years depending on the type to prevent pregnancy. It will need to be replaced after this time as the hormone reservoir will run out.
Can you feel the contraceptive implant or see it from the outside?
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. It can easily be felt, but it is not very visible, except to someone who is looking for it. There will be a tiny mark at the point of insertion, but this isn’t very visible providing the implant has been inserted by a trained healthcare provider.
Will the hormones affect my periods?
Many women find that heavy, painful periods are reduced. There can sometimes be irregular bleeding initially, but this should go after the first few months.
When should the implant be inserted?
After the counseling by your healthcare provider and making sure that you are not pregnant, the implant should be inserted within 7 days after the onset of menstrual bleeding, or immediately or within 7 days after abortion. If the contraceptive implant is inserted at any other time, you will need to use an additional non-hormonal (barrier) method for the following 7 days. In case of questions, please consult with your healthcare provider.
Is the implantation procedure painful?
Local anesthesia is used so there should be very little pain, and the procedure takes only a couple of minutes. There might be a bit of bruising or soreness afterwards.
Can I use the implant when breastfeeding?
Studies have shown no significant harmful effects on the growth or health of infants whose mothers began to use contraceptive implants six weeks after childbirth. There is no data to support the use of the implants earlier than six weeks after childbirth.
How soon after removal can I get pregnant?
Once the implants are removed, the contraceptive effect wears off quickly and you can become pregnant as rapidly as women who have used no contraceptive at all.