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Implanon Removal What To Expect And How To Prepare

September 14, 2024

Close-up of arm with small bandage.

Implanon is a popular birth control method that involves a small rod placed under the skin of your upper arm. It releases hormones to prevent pregnancy for up to three years. But what happens when it's time to remove it? Whether you're considering getting pregnant, experiencing side effects, or simply due for a replacement, understanding the removal process can help you prepare and ease any concerns.

Key Takeaways

  • Implanon is a small, flexible rod inserted under the skin to prevent pregnancy for up to three years.
  • The removal process is quick and usually takes place in a doctor's office with local anesthesia.
  • After removal, you may experience some tenderness, swelling, or bruising at the site.
  • Your menstrual cycle may take a few months to return to normal after the implant is removed.
  • Discuss alternative birth control options with your healthcare provider before removal if you don't want to become pregnant immediately.

Understanding Implanon and Its Removal

Implanon removal procedure close-up

What Is Implanon?

Implanon is a small, flexible plastic rod about the size of a matchstick. It is inserted just under the skin of the upper arm. This implant is over 99.9% effective at preventing pregnancy and can last up to three years. Implanon works by releasing the hormone progesterone into the bloodstream. This hormone stops the ovaries from releasing eggs and thickens the cervical mucus to block sperm from entering the uterus.

How Does Implanon Work?

The hormone progesterone released by Implanon has two main functions:

  1. It prevents the ovaries from releasing an egg each month.
  2. It thickens the mucus around the cervix, making it difficult for sperm to enter the uterus.

These actions make it highly effective in preventing pregnancy. Some users may experience changes in their menstrual cycle, such as lighter periods or no periods at all.

Why Remove Implanon?

There are several reasons why someone might choose to remove Implanon:

  • The implant has reached the end of its three-year effectiveness period.
  • The user is experiencing side effects like irregular bleeding or mood changes.
  • The user wishes to become pregnant.
  • The user wants to switch to a different form of contraception.

Understanding these aspects can help individuals make informed decisions about their reproductive health.

The Implanon Removal Procedure

Implanon removal by a medical professional

Preparation for Removal

Before the removal of Implanon, a local anesthetic is administered to numb the area. This ensures that the patient does not feel any sharp sensations during the procedure. It's important to communicate any concerns or questions with the healthcare provider beforehand.

Step-by-Step Removal Process

  1. The patient lies down with their arm positioned near their head.
  2. The healthcare provider makes a small incision close to the elbow.
  3. The Implanon rod is gently pushed towards the incision and removed using tweezers.
  4. If a new Implanon is to be inserted, it is done immediately after the removal of the old one.
  5. The incision is closed with adhesive strips or stitches, and a bandage is applied to minimize bruising.

Post-Removal Care

After the procedure, mild discomfort, tenderness, and bruising are common. It's advised to keep the bandage on for a full day to aid healing. Avoid lifting heavy objects immediately following the procedure to prevent bleeding. Itchiness around the incision is normal, but scratching should be avoided to prevent infection.

Potential Complications and Side Effects

Doctor removing Implanon from patient's arm

Common Side Effects

When removing Implanon, some common side effects may occur. These include changes in menstrual bleeding patterns, headaches, and weight gain. Other frequently reported issues are acne, breast pain, and mood swings. Some women also experience stomach pain, back pain, and dizziness. It's important to monitor these symptoms and consult a healthcare provider if they persist.

Rare Complications

While rare, there are some serious complications associated with Implanon removal. These include ectopic pregnancies, which can cause severe internal bleeding and infertility. Blood clots are another rare but serious risk, potentially leading to conditions like deep vein thrombosis, pulmonary embolism, or even stroke. In some cases, cysts may develop on the ovaries, requiring surgical intervention.

When to Seek Medical Attention

It's crucial to seek medical attention if you experience any severe symptoms post-removal. These include unexplained lower abdominal pain, severe chest pain, or sudden shortness of breath. Additionally, symptoms like sudden severe headaches, partial or complete blindness, or heavy menstrual bleeding should not be ignored. If the implant appears to have broken or bent, contact your healthcare provider immediately.

By understanding these potential complications and side effects, women can better prepare for Implanon removal. Wearing period underwear for women can help manage any unexpected bleeding during this time.

Menstrual Cycle After Implanon Removal

Woman relieved after Implanon removal.

Immediate Changes Post-Removal

After the removal of Implanon, it is common for menstrual cycles to take some time to return to their regular pattern. Most individuals will not experience immediate menstrual bleeding. The body needs time to adjust as hormone levels stabilize. Typically, periods should resume within a few months.

Long-Term Menstrual Patterns

The long-term menstrual patterns post-Implanon removal can vary significantly from person to person. Some may find their cycles return to what they were before using Implanon, while others might experience changes. Factors such as overall health, nutrition, and body weight can influence these patterns.

Factors Influencing Menstrual Return

Several factors can affect how quickly and regularly menstrual cycles return after Implanon removal. These include:

  • Previous menstrual cycle characteristics: What were your periods like before using Implanon?
  • Nutrition: A well-balanced diet can support hormonal balance.
  • Body weight: Maintaining a healthy weight can influence menstrual regularity.
  • Overall health: General health and any underlying conditions can play a role.

Using period underwear for women can be a practical choice during this transition period, offering comfort and protection as your body adjusts.

Preparing for Implanon Removal

Consulting with Your Healthcare Provider

Before removing Implanon, it's crucial to consult with your healthcare provider. They will discuss your reasons for removal and any concerns you might have. This conversation ensures that you are fully informed about the procedure and what to expect. Your doctor will also review your medical history to ensure there are no complications that could arise during the removal process.

Managing Expectations and Anxiety

Feeling anxious about the removal is normal. To manage this, it's helpful to understand the procedure and its simplicity. The removal process is usually quick and involves minimal discomfort. Knowing what to expect can significantly reduce anxiety. Remember, the procedure is straightforward and typically done in a regular doctor's office.

Alternative Contraceptive Options

If you are not planning to conceive immediately after removing Implanon, discuss alternative contraceptive options with your healthcare provider. They can help you choose a method that suits your lifestyle and needs. Options include birth control pills, IUDs, or another Implanon implant. It's important to have a plan in place to avoid unintended pregnancy.

Post-Removal Fertility and Contraception

Return to Fertility

After the removal of Implanon, fertility typically returns quickly. Most individuals can expect to ovulate within a few weeks to a few months. It's important to note that pregnancy can occur as soon as ovulation resumes, so alternative contraception should be considered if pregnancy is not desired immediately.

Choosing a New Contraceptive Method

When deciding on a new contraceptive method post-Implanon, there are several options to consider:

  • Hormonal Methods: These include birth control pills, patches, and injections.
  • Barrier Methods: Options like condoms and diaphragms fall into this category.
  • Long-Acting Reversible Contraceptives (LARCs): These include IUDs and implants.
  • Permanent Methods: Sterilization procedures for those who do not wish to have children in the future.

Consulting with a healthcare provider can help in choosing the most suitable method based on individual health and lifestyle.

Monitoring Your Health Post-Removal

After the removal of Implanon, it is crucial to monitor one's health. Regular check-ups with a healthcare provider can ensure that the body is adjusting well. Any unusual symptoms or side effects should be reported to a healthcare professional promptly. Maintaining a healthy lifestyle, including a balanced diet and regular exercise, can also support the body's transition post-removal.

Conclusion

Understanding the Implanon removal process can help ease any worries you might have. It's a simple procedure that usually takes just a few minutes and is done with local anesthesia to minimize discomfort. After removal, you might experience some mild side effects like tenderness or bruising, but these are generally short-lived. It's important to follow your doctor's advice for aftercare to ensure proper healing. If you're planning to switch to another form of contraception, discuss your options with your healthcare provider beforehand. Remember, you can get pregnant soon after the implant is removed, so use another birth control method if you're not ready for pregnancy. Overall, being well-informed and prepared can make the Implanon removal process smooth and stress-free.

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 and works for up to three years.

Why would someone want to remove Implanon?

People may choose to remove Implanon because it has reached the end of its three-year effectiveness, they want to become pregnant, or they are experiencing side effects like mood changes or irregular bleeding.

How is Implanon removed?

A doctor will numb the area with a local anesthetic, make a small cut near the implant, and gently pull it out. The procedure is quick and usually takes just a few minutes.

What should I expect after Implanon is removed?

You might feel a bit sore, and there could be some swelling or bruising. Most people feel fine after a few days. Any side effects you had from Implanon, like mood swings or acne, should start to go away.

Can I get pregnant right after removing Implanon?

Yes, you can get pregnant right away after Implanon is removed. If you don't want to become pregnant, you'll need to use another form of birth control immediately.

What are the possible complications of Implanon removal?

Complications are rare but can include pain, swelling, infection, or the implant being difficult to remove if it has moved. Always talk to your doctor if you have concerns.


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