Carbohydrate Counting
(Public Health)
This page will answer your questions before using a contraceptive implant.
What is a contraceptive implant?
Also known as a contraceptive rod, it is a small, thin, vertical device that provides long-term contraception by releasing a synthetic progestin hormone. The implant is inserted under the skin of the upper arm. It is over 99% effective in preventing pregnancy for 3–5 years, and fertility usually returns quickly after removal.
- Indications for use
- What are the indications for using a contraceptive implant?
- The contraceptive implant is used to prevent pregnancy and is suitable for women who:
- •Want a long-term method of contraception.
- •Prefer non-surgical contraceptive methods.
- •Plan to conceive immediately after removal.
•Arebreastfeeding.
- •Cannot use estrogen-containing contraceptives due to health conditions.
- •Do not want to follow a daily or weekly routine like pills or patches.
What are the types of contraceptive implants and what are their components?
- 1.Etonogestrel implant (commonly used)
- 2.Levonorgestrel implant (less commonly used)
- Characteristics of both types:
- •Duration: up to 3 years, with some studies suggesting up to 5 years.
•Mechanism of action: thickens cervical mucus, prevents sperm from reaching the egg, suppresses ovulation, and alters the endometrium to prevent implantation.
•Advantages: highly effective (99%) and requires no daily monitoring.
•Side effects: changes in menstrual cycle, weight fluctuations, and pain at the insertion site.
Guidelines for use
- The implant can be inserted at any time.
- •If inserted within the first 5 days of your menstrual cycle, it is effective immediately, and no additional contraceptive method is needed.
- •If inserted after the first 5 days, use an additional contraceptive method or avoid sexual intercourse for 7 days.
- Before the procedure:
- •Your doctor may advise temporarily stopping certain medications.
•Inform your doctor about all medications, health issues, and allergies.
- •Follow any other instructions provided by your healthcare provider.
- After the procedure:
•Take prescribed medications as directed.
- •Maintain the cleanliness of the insertion site and change the dressing regularly for 3–5 days.
- Safe use:
- •Consult your doctor if taking medications for tuberculosis, epilepsy, or HIV.
- •Consult your doctor if you have any medical conditions.
- •Replace the implant every 3–5 years if you wish to continue preventing pregnancy.
•Do not insert more than one implant at a time.
•If the implant breaks or becomes unnoticeable, seek medical advice immediately.
- Warnings:
- Do not use the implant if you have:
- •Cardiovascular disease
- •Liver disease (e.g., cirrhosis)
- •Stroke
•Breast cancer
•Unexplained vaginal bleeding
Frequently Asked Questions (FAQ)
- Signs after implant insertion:
- -Implantation is generally safe, but possible issues include:
-Inflammation at the insertion site, causing swelling or pain.
-Migration of the implant a few centimeters from the original site.
-If you suspect an infection or that the implant has shifted from its place, you should contact your doctor.
-Menstrual changes are normal: cycles may become lighter, heavier, irregular, or even stop temporarily. Occasional breakthrough bleeding may occur. These are usually not a concern, but consult your doctor if problematic.
Before purchasing or using an implant:
-Consult your doctor to ensure the method suits your needs, including duration of contraception, return of fertility, and side effects.
Use after childbirth and during breastfeeding:
•The implant can be inserted anytime after delivery.
•If inserted within the first 21 days postpartum, protection is immediate.
- •If inserted after 21 days, use additional contraception for 7 days.
- •The implant is safe during breastfeeding and does not affect your baby or milk.
- Side effects
- Contraceptive implants are generally safe. Serious complications are rare, but some side effects may include:
- •There may be an interruption or a change in its flow.
•Pain or bruising at the insertion site.
•Breast tenderness.
