Contraceptive implant: what you need to know

If you’re considering long-term birth control options, the contraceptive implant might be one of the methods on your radar. This small, flexible rod, which is inserted under the skin of your upper arm, releases hormones that prevent pregnancy. Not only is it discreet and maintenance-free, but it’s also one of the most effective forms of reversible contraception available today.

The popularity of the contraceptive implant stems from its simplicity and effectiveness. Whether you’re looking to avoid the daily hassle of taking a pill or simply seeking peace of mind in your contraceptive method, this device has become a go-to choice for many women. Let’s delve into the specifics of what the contraceptive implant is and how it works.

What is a contraceptive implant?

The contraceptive implant, such as Nexplanon®, is a type of long-acting reversible contraception (LARC). It is a tiny rod, roughly the size of a matchstick, that’s placed just beneath the skin of your upper arm by a healthcare provider.

Once inserted, the implant releases a hormonal medication called progestin, which has several functions to prevent pregnancy, including the suppression of ovulation. It’s a set-and-forget method, remaining effective for up to three years, after which it can be replaced or removed.

Women who choose the implant enjoy the convenience of not having to remember daily pills, and its high effectiveness rate is an added bonus. It provides the freedom to not worry about contraception in your day-to-day life.

Importantly, the return to fertility after having the implant removed is typically swift, making it a good option for those looking for both long-term prevention and future pregnancy planning.

How does the contraceptive implant work?

The contraceptive implant works primarily by preventing the release of an egg from the ovary (ovulation). But that’s not its only trick. It also thickens the cervical mucus, creating a barrier that’s difficult for sperm to pass through, and thins the lining of the uterus which further reduces the chances of pregnancy.

The constant delivery of progestin ensures that these contraceptive effects are maintained throughout the duration of the implant’s lifespan. This continuous protection is what makes the implant one of the most reliable birth control methods with a success rate of over 99%.

It’s worth noting that the implant starts working almost immediately if inserted during the first five days of your menstrual cycle. If placed at any other time, it’s recommended to use an additional form of contraception for a short period following the insertion.

For many, the consistency and reliability of the implant provide a sense of security that other contraceptive methods may not offer.

What are the side effects of the contraceptive implant?

While the contraceptive implant is safe for many women, it can cause side effects. The most common side effect reported is a change in menstrual bleeding patterns. Some women experience longer or shorter periods, while others may have spotting between periods, or their periods may stop altogether.

Other potential side effects include mood swings, weight gain, headaches, acne, and a sore or infected area where the implant was inserted. Although these side effects can be bothersome, they typically diminish over time.

It’s important to remember that the implant does not protect against sexually transmitted infections (STIs), so using condoms is still necessary for STI prevention.

Before getting the implant, it’s crucial to discuss your medical history with your healthcare provider, as there are certain conditions where its use may not be recommended.

Who can use the contraceptive implant?

The contraceptive implant is suitable for most women seeking long-term, reversible birth control. This includes women who are breastfeeding, as the implant is safe to use during this time.

However, it may not be recommended for individuals with certain medical histories, such as those with a history of blood clots, liver disease, or certain cancers. Women with unexplained vaginal bleeding should also avoid using the implant until the cause is determined.

As with all medications, it is essential to consult with a healthcare provider to ensure that the contraceptive implant is the right choice for you.

How is the contraceptive implant fitted or removed?

Insertion of the contraceptive implant is generally a quick and painless procedure carried out by a trained healthcare provider. Using local anesthesia, the implant is placed just under the skin on the inner side of the upper arm.

The removal process is straightforward as well. The healthcare provider will numb the area around the implant, make a small incision, and gently pull the device out. If desired, a new implant can be inserted during the same appointment.

Both insertion and removal typically take only a few minutes, and most women report little discomfort during the procedures.

What are the advantages and disadvantages of the implant?

The contraceptive implant offers several advantages, such as its high efficacy rate, the convenience of not having to remember daily pills, and the rapid return to fertility once removed. It is also discreet, and its long-term nature makes it cost-effective over time.

However, there are disadvantages to consider. The potential for unpredictable menstrual bleeding can be a significant drawback for some women. Additionally, while rare, the implant can cause side effects ranging from mood changes to weight gain. It’s also crucial to remember that it does not offer protection against STIs.

Given these pros and cons, it’s essential to weigh them against your lifestyle, health, and family planning goals when considering the implant as your birth control method.

Where can you get the contraceptive implant?

You can obtain the contraceptive implant from a range of healthcare settings, including clinics, doctor’s offices, or family planning centers. It’s essential to visit a provider who is trained in the insertion and removal of the device.

Many health insurance plans cover the costs of the implant and its insertion, but it’s always a good idea to check with your insurance company and healthcare provider about any potential costs.

For those without insurance, family planning clinics often offer contraceptive services based on income, making it an affordable option for many.

Contraceptive implant: Inquiries and considerations

What are the side effects of the contraceptive implant?

The most common side effect of the contraceptive implant is a change in menstrual patterns. Irregular bleeding, increased or decreased menstrual flow, or the absence of periods can occur. Other side effects may include mood swings, weight gain, and headaches.

While not everyone will experience side effects, it’s important to be aware of these possibilities and discuss them with your healthcare provider.

What are the disadvantages of an implant?

The main disadvantages of the contraceptive implant are the potential for irregular menstrual bleeding and other side effects such as mood changes and weight gain. Additionally, some may find the idea of having a device inserted under their skin unpleasant.

It’s also worth noting that the implant does not protect against STIs, necessitating additional contraception for protection.

Is the implant safer than the pill?

In many cases, the contraceptive implant can be considered safer than the pill as it eliminates the risk of forgetting to take daily medication, thereby reducing the chance of unintended pregnancy. It also doesn’t carry the risk of blood clots associated with estrogen, which is found in many birth control pills.

However, individual health considerations should always be taken into account, and a healthcare provider can offer advice specific to your situation.

Is an implant better than an IUD?

Whether an implant is better than an intrauterine device (IUD) depends on personal preference and individual health circumstances. Both are highly effective, long-acting, and reversible. The choice may come down to factors such as how comfortable you are with the insertion process, potential side effects, and how your body responds to hormones.

Consultation with a healthcare provider can help you decide which option is best for you.

In conclusion, the contraceptive implant is a highly effective, long-term birth control option that suits many women. While it offers several benefits, it’s critical to consider the potential side effects and consult with a healthcare provider to make an informed decision that aligns with your health needs and lifestyle.