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Contraceptive Implants

Contraceptive implants, like Implanon or Nexplanon, are a popular and effective long-term birth control option for many women. They offer convenience, reliable pregnancy prevention, and are suitable for those who may struggle with daily contraceptive methods. Contraceptive implants are small, flexible rods placed under the skin, usually in the upper arm, to release a hormone that prevents pregnancy. It contains etonogestrel, a synthetic form of the hormone progestin, which helps prevent ovulation (the release of an egg from the ovary). The appeal of them lies in its simplicity and long-lasting nature. Once inserted, it provides up to three years of continuous pregnancy prevention without the need for daily attention or routine visits to a healthcare provider. This makes it a highly convenient choice for women seeking a “set it and forget it” birth control method.

 

How does it work?

It works through the continuous release of etonogestrel into the bloodstream. This hormone plays a crucial role in preventing pregnancy through three mechanisms:

  1. Inhibition of Ovulation: The primary function of etonogestrel is to inhibit ovulation. By preventing the release of eggs, there is no opportunity for sperm to fertilize an egg, thus preventing pregnancy.
  2. Thickening of Cervical Mucus: Implanon thickens the mucus around the cervix, making it more difficult for sperm to pass through the cervix and reach an egg.
  3. Thinning of the Uterine Lining: It also thins the lining of the uterus, reducing the likelihood of a fertilized egg implanting in the uterine wall.

 

Together, these actions make Contraceptive Implants a highly effective contraceptive option, with a failure rate of less than 1% when properly used.

Person holding a Contraceptive Implants used to prevent pregnancy

Benefits of Using Contraceptive Implants

It offers several advantages over other forms of contraception:

  • High Efficacy: With a success rate exceeding 99%, It is one of the most reliable contraceptive methods available.
  • Long-term Protection: A single insertion can provide up to three years of continuous birth control, making it an ideal choice for women who prefer not to worry about daily or monthly contraceptives.
  • Reversibility: If a woman decides to become pregnant, the implant can be removed at any time, and normal fertility typically returns quickly.
  • Minimal Maintenance: Unlike daily pills or monthly injections, Contraceptive Implants requires little maintenance once inserted. Routine check-ups are not necessary unless complications arise.
  • Suitable for Women Who Cannot Use Estrogen: Since it only releases progestin, it is a safe option for women who cannot use estrogen-based birth control due to health concerns.

The Insertion and Removal Procedure

Getting an implant is a straightforward procedure usually performed by a trained healthcare provider. Here’s what to expect during the insertion and removal processes:

  1. Insertion
  • The procedure begins with a consultation with your healthcare provider, who will assess your medical history and confirm that Implant is an appropriate choice for you.
  • During the actual insertion, a local anesthetic is applied to numb the area in the upper arm. The implant, which is about the size of a matchstick, is then placed just under the skin using a specially designed applicator.
  • The entire process typically takes only a few minutes. A small bandage will be applied to the insertion site, and you may be advised to avoid heavy lifting or intense arm activity for a day or two.
  1. Removal
  • Contraceptive Implants must be removed after three years or earlier if desired. The removal procedure is similar to insertion and involves making a small incision in the skin to extract the implant.
  • The process is quick, and fertility usually returns promptly after removal. If desired, a new implant can be inserted immediately after the old one is taken out.

Potential Side Effects

Like all medical treatments, Contraceptive Implants can have side effects, although not every user experiences them. Common side effects may include:

  • Changes in Menstrual Bleeding: Some women experience irregular bleeding, while others may have lighter or no periods at all.
  • Headaches: Some users may report mild to moderate headaches.
  • Weight Gain: There is a possibility of slight weight gain, though it varies from person to person.
  • Breast Tenderness: Breast discomfort or pain can occur, but this is generally mild.
  • Acne or Skin Changes: Some women may notice an increase in acne, though others may see improvements in their skin condition.

 

While side effects may seem concerning, many women find them manageable or even appreciate changes like lighter periods.

Who Should Consider Using Contraceptive Implants?

It is a suitable birth control option for a wide range of women, but certain groups may particularly benefit from it:

  • Women Seeking Long-term Birth Control: If you prefer a birth control method that lasts for several years without daily maintenance, Contraceptive Implants could be ideal.
  • Those Who Cannot Use Estrogen-Based Contraceptives: Women who are unable to use contraceptives containing estrogen due to medical conditions or side effects may find Contraceptive Implants a good alternative.
  • Women Who Want a Reversible Option: If you’re not ready for permanent birth control but want something more reliable than short-term methods, It provides an effective, reversible solution.

Who Should Consider Using Contraceptive Implants?

Certain conditions may make Implant unsuitable for some women. It may not be recommended if you:

  • Have a history of blood clotting disorders.
  • Suffer from severe liver disease.
  • Are allergic to the components of the implant.
  • Have unexplained vaginal bleeding.

Schedule your Consultation

Dr. Mahtab Ziai | Specialist OB-GYN & Cosmetic Gynecologist

Thinking about Contraceptive Implants? Dr. Mahtab Ziai is here to help! Schedule your consultation today!