When is the contraceptive implant fitted




















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. You should avoid having unprotected sex or use a barrier method of contraception such as condoms until the implant is inserted and for 7 days after.

You should also take a pregnancy test no sooner than 3 weeks after the last time you had unprotected sex. Yes, an implant can be used when breastfeeding.

The implant will not affect your milk production and will not harm your baby. Although breastfeeding does slightly reduce the chance of another pregnancy, it is not a reliable contraceptive and it is possible to become pregnant whilst breastfeeding. Some medicines may make an implant less effective. This includes some medicines used in epilepsy, HIV and tuberculosis, and St John's wort a herbal remedy often used to treat headaches, mood disturbances and premenstrual syndrome.

These medications reduce the effectiveness of the implant by increasing the rate at which your body disposes of the hormone in the blood. If you are using one of these medicines you will need to consider a different or additional contraceptive method. The implant is not affected by common antibiotics, or by an attack of diarrhoea or being sick vomiting. Most women can have an implant fitted but there are a few exceptions. You should not have a contraceptive implant put in if you think you might be pregnant, or if you don't want to use a contraceptive method that might affect your periods.

There are some conditions which, if you have them, mean that you could use the contraceptive implant, but a different method might be more suitable for you. These include:. The contraceptive implant needs to have been in place for seven days before it can stop ovulation. Therefore, when you change from another method, precautions may be necessary for seven days.

This is sometimes not necessary, but only if your previous method means that there is no chance of you ovulating during the first seven days of the implant.

If you are taking the regular, combined hormone contraceptive CHC pill, the implant can be inserted on the first or second pill-free day after you finish the packet.

Protection is then continued without a break. If you have the implant inserted during the remaining days of the pill-free interval you should use additional protection for the first seven days. If you have had unprotected sex intercourse during the gap, you are also advised to restart your CHC for at least seven days, taking it when you would normally have done so.

If you have the contraceptive implant inserted in the first seven days of your pill packet, you should either avoid sex, continue taking your CHC for a further seven days, or use an additional barrier method. If you have the contraceptive implant inserted when you are more than seven days into your CHC pill packet, and have not missed any pills, you are covered immediately and do not need to finish your pill packet.

If you put the contraceptive implant in whilst your injection is still active ie within 14 weeks of your last injection , you are covered immediately.

If you have 'gone over' the 14 weeks by a day or more, you can still have the contraceptive implant but need to use additional precautions for seven days. If you had unprotected intercourse in the interval, you should also take emergency contraception, and if you do not have a period, you should do a pregnancy test three weeks later. If switching from the progestogen-only pill POP , you should continue the POP for seven days after the implant has been inserted, or use other methods.

If you were using a desogestrel pill, you are protected immediately and no additional precautions are required. If switching from the intrauterine system IUS , you should keep your IUS in place, or use other methods, for the first seven days after insertion of the implant. Most people return to their normal menstrual cycle and fertility within a month of removing the implant.

If you do not want to be pregnant you need to use other contraception as soon as it is removed. Occasionally the implant can be difficult to feel or remove and you may need to have an ultrasound to check its position in your arm. Irregular bleeding is a common side effect and will usually settle down within 3 months. Whatever your bleeding pattern, the implant is still effective.

If the bleeding does not settle or you are unhappy with the bleeding you can see a doctor for medications that can help with this. People who are pregnant, people with breast cancer, people with unexplained vaginal bleeding, people with severe liver disease or using medication that affects the liver, should not use the implant.

The implant is prescribed by a doctor and can be inserted at SHINE SA clinics and by doctors, nurses and gynaecologists who have been trained in this procedure. For You For Professionals. Search for:. Contraceptive Implant Implanon. Couples having sex must always use condoms along with the implant to protect against STDs. Implantable contraception increases the risk of blood clots. Blood clots can lead to serious problems with the lungs, heart, and brain.

Smoking cigarettes while using the implant can increase the risk of blood clots. Don't smoke if you use implantable contraception or another form of hormonal birth control. Girls who want long-term protection against pregnancy may be interested in implantable contraception. Not all women can — or should — use the implant. Some health conditions make it less effective or more risky to use. The implant is not recommended for those who have had:.

Girls who have diabetes, migraine headaches , depression, high cholesterol, high blood pressure , gallbladder problems, seizures, kidney disease , or other medical problems should talk with their doctor. Implantable contraception is only available from a doctor or other medical professional who has been trained to insert it.

When the doctor can insert the implant depends on when you had your last period and what type of birth control you currently use. After numbing the inside of your upper arm, the doctor will use a small needle to insert the tube under the surface.

The whole process only takes a few minutes. After the tube is in, don't do any heavy lifting for a few days. You'll have a bandage on for a few days after the procedure.



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