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Implanon Removal What To Expect And How To Prepare

September 06, 2024

Implanon removal in medical clinic

Implanon is a small, flexible rod inserted under the skin of your upper arm. It releases hormones to prevent pregnancy and is effective for up to three years. If you're considering removing your Implanon implant, you might wonder what to expect and how to prepare. This article will guide you through the reasons for removal, the procedure itself, potential risks, and what to do afterward. Whether you're planning for a new contraceptive method or hoping to become pregnant, understanding the process can help you feel more at ease.

Key Takeaways

  • Implanon is a tiny rod placed under the skin that releases hormones to prevent pregnancy for up to three years.
  • Common reasons for Implanon removal include the end of its effective period, side effects, or a desire to become pregnant.
  • The removal procedure involves a small incision and local anesthesia to numb the area, making it a quick and usually painless process.
  • After removal, you may experience mild discomfort, bruising, or swelling, but these symptoms typically resolve quickly.
  • It's possible to become pregnant soon after Implanon removal, so consider alternative contraception if you do not wish to conceive.

Understanding Implanon and Its Mechanism

Hand holding an Implanon device

Composition and Function of Implanon

Implanon is a small, flexible rod about the size of a matchstick. It is inserted just under the skin of the inner upper arm. The rod releases a low, steady dose of the hormone progestin, which helps to prevent pregnancy. This contraceptive implant works by stopping the ovaries from releasing eggs and thickening the cervical mucus to block sperm from reaching the egg.

Hormonal Effects on the Body

The hormone released by Implanon, progestin, has several effects on the body. It primarily prevents ovulation, meaning no egg is released for fertilization. Additionally, it thickens the cervical mucus, making it difficult for sperm to enter the uterus. Some users may experience changes in their menstrual cycle, such as lighter periods or no periods at all.

Duration and Efficacy

Implanon is effective for up to three years. It is over 99% effective at preventing pregnancy, making it one of the most reliable forms of contraception available. After three years, the implant needs to be removed or replaced to maintain its effectiveness.

Reasons for Implanon Removal

Doctor holding arm for Implanon removal.

End of Effective Period

Implanon is designed to be effective for up to three years. After this period, the hormone levels released by the implant decrease, making it less effective at preventing pregnancy. It is crucial to remove or replace the implant after three years to ensure continuous contraceptive protection.

Side Effects and Health Concerns

Some individuals may experience side effects that prompt them to remove the Implanon implant earlier than planned. Common side effects include irregular bleeding, mood changes, and weight gain. In rare cases, more severe health concerns such as infections or allergic reactions may occur, necessitating the removal of the implant.

Desire for Pregnancy

For those who wish to become pregnant, removing the Implanon implant is a necessary step. Fertility typically returns quickly after the removal of the implant, allowing individuals to plan for pregnancy without prolonged delays. It is advisable to consult with a healthcare provider to discuss the best timing for removal based on personal health and family planning goals.

The Implanon Removal Procedure

Implanon removal procedure close-up

Preparation and Anesthesia

Before the removal of the Implanon implant, the healthcare provider will administer a local anesthetic to numb the area. This ensures that the patient does not feel any sharp sensations during the procedure. The anesthetic may cause a slight pinch or sting upon injection. Once the area is numb, the doctor will test it to confirm the absence of pain.

Step-by-Step Removal Process

  1. The patient will lie down with their arm positioned near their head.
  2. The doctor will make a small incision near the site of the implant, typically close to the elbow.
  3. Using gentle pressure, the doctor will push the implant towards the incision site until it becomes visible and can be grasped with tweezers or a similar tool.
  4. The implant is then carefully removed from the arm.
  5. If the patient wishes to continue using Implanon, a new implant can be inserted through the same incision.
  6. The incision is closed using adhesive strips or stitches, and a bandage is applied to minimize bruising and aid in healing.

Post-Removal Care

After the procedure, it is common to experience mild discomfort, tenderness, and possibly some bruising. The bandage should remain on for at least 24 hours to support the healing process. Patients are advised to avoid heavy lifting and strenuous activities immediately following the removal. It is important to keep the area clean and dry to prevent infection. Any unusual symptoms, such as excessive swelling or severe pain, should be reported to a healthcare provider promptly.

Potential Complications and Risks

Common Side Effects

After the removal of Implanon, some individuals may experience common side effects. These can include minor bruising, swelling, or pain at the site of removal. It's important to note that these symptoms are usually temporary and resolve on their own. Occasionally, there might be slight bleeding or infection, which can be managed with proper care and hygiene.

Rare but Serious Complications

In rare cases, more serious complications can occur. These include damage to nerves or blood vessels during the removal process. If the implant is deeply embedded, it might require a more complex procedure, potentially leading to scarring or prolonged recovery. Broken implants are uncommon but may necessitate specialized removal to ensure all fragments are extracted.

Managing Complications

To manage any complications, it is crucial to follow post-removal care instructions provided by healthcare professionals. Keeping the removal site clean and dry can prevent infections. If there are signs of severe pain, excessive bleeding, or unusual symptoms, seeking medical advice promptly is advised. Regular follow-ups can help in monitoring the healing process and addressing any concerns early on.

Post-Removal Expectations and Care

Woman holding arm with small bandage

Immediate Aftercare

After the Implanon removal, it is crucial to keep the wound clean and dry. Avoid heavy lifting or strenuous activities with the affected arm for a few days. If the dressing gets wet, replace it with a dry plaster. Pain relief medication like paracetamol can help manage any discomfort.

Return of Menstrual Cycle

The return of the menstrual cycle varies among individuals. Some may notice their periods returning within a few weeks, while for others, it might take a few months. During this time, using period underwear for women can provide comfort and protection.

When to Seek Medical Advice

Seek medical attention if you experience severe pain, redness, swelling, or if the wound feels hot. These could be signs of an infection. Additionally, if you have a fever or if the symptoms worsen, contact your healthcare provider immediately.

Alternative Contraceptive Options

Other Hormonal Methods

For those seeking alternatives to Implanon, several other hormonal methods are available. These include birth control pills, patches, and vaginal rings. Each of these methods releases hormones to prevent pregnancy and requires regular use. Birth control pills must be taken daily, while patches are changed weekly, and vaginal rings are replaced monthly. These options offer flexibility but require adherence to a schedule.

Non-Hormonal Methods

Non-hormonal contraceptive methods are also viable alternatives. These include copper IUDs, condoms, diaphragms, and fertility awareness methods. Copper IUDs are long-acting and can last up to 10 years. Condoms and diaphragms provide barrier protection and are used during intercourse. Fertility awareness methods involve tracking the menstrual cycle to avoid fertile days. These methods are suitable for those who prefer to avoid hormones.

Consulting with Healthcare Providers

It is crucial to consult with healthcare providers when considering alternative contraceptive options. They can provide personalized advice based on individual health needs and lifestyle. A healthcare provider can also discuss the benefits and drawbacks of each method, helping individuals make informed decisions. For those interested in period underwear for women, healthcare providers can offer guidance on how to integrate these products with chosen contraceptive methods.

Conclusion

Understanding what to expect during and after Implanon® removal can help ease any concerns you might have about the procedure. The process is generally straightforward and performed under local anesthesia, ensuring minimal discomfort. It's important to follow your healthcare provider's instructions for aftercare to promote healing and reduce the risk of complications. If you experience any unusual symptoms or if your menstrual cycle does not return to normal within a few months, consult your doctor. Being well-informed and prepared can make the experience smoother and less stressful.

Frequently Asked Questions

What is Implanon?

Implanon is a small, flexible plastic rod placed under the skin of your upper arm. It releases a hormone called progesterone to prevent pregnancy for up to 3 years.

Why would someone need to remove Implanon?

People may need to remove Implanon when it reaches the end of its effective period, if they experience side effects, or if they want to become pregnant.

How is Implanon removed?

A doctor numbs the area with local anesthesia, makes a small cut near the implant, and gently removes it. The procedure is quick and usually takes just a few minutes.

What should I expect after Implanon removal?

After removal, you might feel some soreness, swelling, or bruising. These symptoms usually go away in a few days. Your menstrual cycle will eventually return to its normal pattern.

Are there any risks associated with Implanon removal?

While complications are rare, possible risks include pain, infection, or the implant breaking during removal. Always consult your doctor if you have concerns.

Can I get pregnant immediately after Implanon is removed?

Yes, it's possible to get pregnant right away after Implanon is removed. If you don't want to get pregnant, use another form of contraception immediately.


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