The implant is a small, flexible plastic tube that sits under the skin of your upper arm and releases the progestogen hormone. It is long-acting and reversible, so you can take it out if you want to get pregnant.
It is the fourth most popular method of contraception in the UK, and more common amongst women under the age of 35.
A clinician will insert the implant under the skin of your upper arm.
Once the implant is in place, you don't have to think about contraception. It won't interrupt sex and you won’t see it. In the UK, Nexplanon is the main contraceptive implant currently in use. It is 4cm long – the size of a matchstick.
It can be removed at any time by a trained doctor or nurse. It only takes a few minutes to remove, using a local anaesthetic.
The hormones released by the implant prevent pregnancy by:
Things to consider
The implant does not protect you from STIs. You should use a condom as well if you think you are at risk of an STI.
A small procedure is required to fit and remove the implant, this only takes a few minutes, using a local anaesthetic.
The implant can change your periods significantly. This varies from woman to woman – you may have no bleeding at all, or more prolonged, more infrequent or irregular bleeding. This is not harmful but may be inconvenient.
Suitability
Most women can use the implant, but your clinician will ask about your family and medical history to determine whether or not the implant is the best method for you.
The implant is not suitable for women who:
It also may not be suitable for women who have or have had certain health conditions.
Common
Short term:
Spotty skin, breast tenderness, nausea, headaches, loss of sex drive, changes in mood.
Long term:
Periods may change significantly: bleeding may be prolonged or infrequent, or you will have no bleeding.
Rare
Short term:
The area of skin where the implant has been fitted can become infected. The skin will be cleaned and may be treated with antibiotics.
When correctly inserted, the implant lies in the tissue just below the surface of the skin. This holds it in position and it should not get lost. Because the implant is made of a flexible plastic, it is unlikely to break inside the user’s arm.
Implants will no longer be effective after 3 years and they should be removed at this point. However, they will not cause any immediate harm if left in place longer than 3 years.
If the implant is fitted during the first 5 days of your menstrual cycle, you will be immediately protected against becoming pregnant. If it is fitted on any other day of your menstrual cycle, you will not be protected against pregnancy for up to 7 days, and should use another method, such as condoms.
A local anaesthetic is used to numb the area so it won’t hurt.
The small wound made in your arm is closed with a dressing and does not need stitches. There may be some bruising, tenderness and swelling for a couple of days afterwards.
The hormone progesterone in the implant has important contraceptive effects but also is associated with irregular bleeding.
You can have the implant removed at any time.
Yes, you can continue to use the implant until you no longer require contraception. You must continue to have the implant replaced every 3 years.
Your fertility should return to normal as soon as the implant is removed.
Yes, the implant can be fitted after having a baby.
No, but there may be some visible bruising for a couple of days after having the implant fitted.
An implant can be used safely while you are breastfeeding and will not affect your milk supply.
Local anaesthetic causes a complete loss of pain sensation to a specific area of your body without making you lose consciousness.
It works by blocking the nerves from the affected part of your body so that signals can't reach your brain. You will not be able to feel any pain during the procedure, but you may still feel some pressure or movement.
It only takes a few minutes to lose feeling in the area where local anaesthetic is given. Your doctor will make sure the area is fully numb before starting the procedure.
It can take a few hours for local anaesthetic to wear off and for full feeling to return. You should be careful not to damage the area during this time.
Some medicines make the implant less effective (including those used to treat epilepsy, HIV and TB, and the herbal medicine St John’s Wort). Ask your GP, clinician or pharmacist and read the information that comes with your medicine.
Always tell your doctor that you have an implant if you are prescribed any medicines.
You may not be able to use the implant if you have or have had any of the following:
Speak to your clinician about whether it is suitable for you.
