What Are The Chances Of Pregnancy After Implant Removal
Like the combined pill and other contraceptive methods, the implant has no impact on your fertility. Once the contraceptive implant is removed, your normal level of fertility will return and you may be at risk of pregnancy. The only contraceptive that shows a link between delaying return to fertility after use is the injection but dont worry, its only short-term. After 2 years there is no significant difference in pregnancy rates when compared with users of non-hormonal contraception.
What Is Good About The Implant
- It is the most effective method of contraception.
- It can last up to 3 years.
- Once inserted you can forget about it for 3 years.
- Many users have no vaginal bleeding at all or light bleeding.
- Periods may be less painful.
- Acne can improve.
- You can use it while breast feeding.
- It can be taken out at any time by a trained doctor or nurse.
- Once removed your fertility quickly returns to what is normal for you.
- It is another contraceptive option if you have difficulty taking the hormone oestrogen. The Pill and vaginal ring contain oestrogen and progestogen. The implant only contains progestogen.
When Does It Start Working
Its immediately effective if inserted during the first 5 days of your menstrual cycle, which starts with the first day of bleeding.The implant is effective after 7 days if it is inserted at any other time in the menstrual cycle. Other contraceptive measures such as condoms should be used for these 7 days. If changing from the Pill or another method of contraception discuss the best time for insertion with your doctor.
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How Is Nexplanon Inserted
The insertion process for Nexplanon is very simple, straightforward, and relatively painless. It is considered a minor procedure, but your healthcare provider can do it in their office, and it only requires a local anesthetic.
After thoroughly cleaning the area with an antiseptic, your provider will numb the area of your upper arm where she will insert the implant. Once youre numb, your provider will use a special applicator to insert the implant under the skin in your upper arm. The implant insertion process only takes a few minutes, and while you may feel a slight pinch or stinging feeling when the implant goes in, it shouldnt be too painful.
The doctor will make sure its implanted correctly before sending you home. Youll need to wear a pressure bandage on the implant site for the next 24 hours, and then a regular bandage for a few more days. During this time, youll need to avoid heavy lifting or exercising to prevent disturbing the implantation site healing.
Some healthcare providers will only schedule your insertion during the first five days of your period if so, Nexplanon will provide birth control immediately. If you do not get the birth control implant during the first five days of your period, you should use a secondary birth control measure, such as external condoms, for the first week after getting the implant. Your healthcare provider should require you to take a pregnancy test beforehand.
What Happens If You Leave Nexplanon In Longer Than 3 Years
You should avoid playing with the rod after insertion to prevent it from moving from its original position. Implanon NXT should be removed or replaced no later than three years after insertion. Failure to do so may increase your risk of ectopic pregnancy. Removal requires a small incision under local anaesthetic.
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What Are The Advantages
- Long acting it lasts for up to five years
- Reversible you can choose to have it taken out at any time. After that, you will be able to get pregnant again
- 99% effective it works very well
- You dont need to think about contraception every day
Studies show that implants do not cause any change in your weight, mood, sex drive, or give you headaches.
Can Anyone Have An Implant
Not everyone can have an implant and your doctor or nurse will need to ask you about your familys medical history. Some conditions which mean you should not have an implant are:
- You think you may already be pregnant.
- You do not want your periods to change.
- A number of past or present medical conditions may also mean that an implant would not be your first choice of contraceptive.
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What Happens If Youre Pregnant On Nexplanon
If you are pregnant while on Nexplanon than you have higher chances that you pregnancy will be ectopic than the women who do not use birth control. Ectopic Ectopic pregnancy A condition where fertilized egg attaches outside the uterus. pregnancy occurs when the fertilized eggs gets attached to any place other than the uterus .
If You Use The Birth Control Implant
If you use the birth control implant, or Nexplanon®, your fertility should return fairly quickly after the implant is removed from your body. Like with the IUD, its possible for some women to get pregnant immediately after removal of the implant.
According to Merck & Co., the manufacturer of Nexplanon, pregnancies have been observed within seven to 14 days after removal of the birth control implant. Most women start ovulating and become fertile again in a month or less after the implant is removed by a healthcare professional.
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How Long Does It Take To Get An Implant In Your Arm
First, a local anaesthetic is used to numb the inside of your upper arm. Then an applicator is used to insert the implant just under the inside of your skin. Youll wear a plaster and a small bandage for a few days, but no stitches are required. The implant can be taken out at any point during the three years.
What Else Should I Know About The Implant
- The implant does not protect you from sexually transmissible infections .
- It is good to record the date or enter a reminder into your phone for when your implant is due to be removed. You will need to have it taken out before it expires . You can have a new implant inserted at the same time the existing one is being removed
- The implant is one of many types of contraception. See other contraceptive options
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Where Can I Get Implantable Contraception
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.
A health care professional must remove the tube after 3 years. It cannot be left in a girl’s arm, even after it is no longer working. The health care professional numbs the area, makes a small cut in the arm, and pulls out the tube. The tube can be removed any time after insertion there’s no need to wait the full 3 years.
What About If I Am Being Prescribed Certain Medications
There are certain medications that will make the contraceptive implant less effective. This includes some HIV, epilepsy and tuberculosis medications, St Johns Wort and certain antibiotics such as rifabutin or rifampicin.
We recommend having a conversation with your doctor to ensure that any medication you are taking will not affect the effectiveness of your implant. If your medication does affect this method then we would recommend looking for another method of contraception that isnt affected by your medication.
Unsure which method is right for you? Speak to our friendly doctors at The Lowdown and get personalised contraceptive advice in a one-to-one appointment.
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How Effective Is The Implant At Preventing Pregnancy
The implant is a very effective method of long acting contraception, and while no form of contraception is completely failsafe, using it makes the risk of a woman getting pregnant far less likely.
It is estimated that 84% of women would get pregnant within a year if they had regular, unprotected intercourse.1
For women using the contraceptive implant, the chances of getting pregnant are less than 1%, providing the implant has been in place for less than three years. So, for every 100 women with an implant having intercourse, less than one will become pregnant over the course of one year.2
This number is similar to the efficacy of the combined oral contraceptive pill .
While your implant is in place, it releases a steady amount of the hormone progesterone. However, the amount it releases decreases slightly year on year. This is why it needs replacing after three years. Research has shown that during this three-year period, for women of a healthy body weight, the implant becomes no less effective at preventing pregnancy however.3
Other methods of contraception including the copper coil, the Mirena coil, and the contraceptive injection, all have similar failure rates to the implant. If you compare this to the withdrawal method, which has a 27% rate of pregnancy within a year when used typically,5 you will see why this is not a recommended method of contraception.
Getting Pregnant With Implant In Arm
Due to a superior level of effectiveness, Nexplanon can be inserted at any time, She decided to get a hormone implant in her arm called Nexplanon, read through the info on whatever youre thinking of getting Reply Close CThe match-size, the combined pill, often known by their brand name Nexplanon, rod-shaped implant is inserted by a doctor into a womans arm, Theres no chance of forgetting to take it or using it incorrectly.Do not use this method if you have breast cancer or if you are pregnant, thin rod about the size of a matchstick, If a woman wants to delay getting pregnant, could I be pregnant
Contraceptive implants, except to someone who is looking for it.
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How Is It Inserted
An area on the inner arm above the elbow is first numbed with local anaesthetic. Then the doctor or nurse puts the implant under the skin. After the implant is inserted, a band aid or dressing is put on which should stay on for 3-5 days. The arm is bandaged to reduce bruising and this should be left on for 24 hours.
How Can I Have Fun Without Getting Pregnant
Guess what, kissing will not get you pregnant, nor will making out. Neither will dry humping if either you or your partner is wearing some kind of clothing that covers the genitals. You also cant get pregnant by masturbating, either by yourself or while masturbating in the same room as someone else. Searching for more frisky fun? Try using sex toys with yourself or a partner, or what Scarleteen calls manual sex, aka fingering and hand jobs. These are all risk-free from pregnancy and are great options if youre not using birth control and dont want to be pregnant.
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Does Other Medication Affect The Implant
The implant is not affected by the use of common antibiotics, but is affected by enzyme-inducing medication such as HIV treatments or epilepsy medication. As with many medications, tell your doctor if you are using hormonal contraception. The complementary medicine St Johns Wort may also make the contraceptive less effective.
Will Other Medicines Affect The Implant
Some medicines can make the implant less effective, such as:
- medicines for HIV, epilepsy and tuberculosis
- complementary remedies, such as St John’s Wort
- some antibiotics, such as rifabutin or rifampicin
If you’re taking any of these medicines, you’ll need additional contraception , or you may wish to use a different method of contraception that isn’t affected by your medicine.
Always tell your doctor that you’re using an implant if you’re prescribed any medicine. You can also ask them whether the medicine you’re taking will affect the implant.
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How Is The Contraceptive Implant Put In
The implant is prescribed by a doctor. The implant can be put in:
- at Family Planning NSW clinics
The doctor or nurse will inject local anaesthetic under the skin on the inside of your upper arm. This will make the procedure more comfortable. The procedure takes 5-10 minutes.
If the implant is put in during the first 5 days of your period it will start to work straight away. If it is put in at other times it will take 7 days to work – you will need to use another method of contraception or not have sex for 7 days.
Myths And Facts About Implants
This page was originally published in 2012 and has since been updated.
Contraceptive implants are thin, small , flexible rods which are implanted under the skin of the upper arm by a doctor or a nurse. They are 99% effective in preventing pregnancy.
The implant rods contain progestins which are steadily released into the womans bloodstream. Progestins are like the hormone progesterone, which is produced naturally within a womans body.
The continuous release of progestins stops a woman releasing an egg every month , and thickens the mucus from the cervix , making it difficult for sperm to pass through to the womb and reach an unfertilized egg.
Implants protect against pregnancy soon after as they have been inserted. Depending on the type of implant, they last between 3-5 years, but can be removed at any time. Fertility returns when the implant is removed.
Some women experience side effects form implants. It is common, but not harmful, to experience changes in menstrual bleeding patterns. Other possible side effects include abdominal pain, headaches, breast tenderness and acne. Side-effects often diminish over time, especially after the first few months to a year of use, but if you are concerned about side effects, you should go and talk to your provider.
When fitting the implant, a local anaesthetic is used to numb the area. It makes a small wound in the arm, which is closed with a dressing and does not need stitches.
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When To See A Doctor
Women should speak to a doctor as soon as possible if they suspect that they are pregnant or have had a positive result on a pregnancy test while on birth control.
Conversely, if a woman misses a period and gets a negative pregnancy test result, she should also seek medical advice unless she is taking a form of birth control that prevents regular periods.
Although they are rare, false negatives are possible. There may be other underlying conditions causing missed periods or other pregnancy symptoms.
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How Effective Is The Birth Control Implant
Hormonal implants work more than 99% of the time. How do they stack up to other birth control methods?
- Intrauterine devices are also 99% effective.
- Birth control injections are 94% effective.
- The pill is 91% effective.
But none of these methods protect you from sexually transmitted diseases . Only condoms prevent STDs.
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How Is A Contraceptive Implant Fitted Or Removed
A local anaesthetic is used to numb the area on the inside of your upper arm.
The implant is then inserted under your skin it only takes a few minutes to put in and feels like having an injection. You wont need any stitches after your implant has been fitted.
Nexplanon works for 3 years before it needs to be replaced. You can use this method until you reach the menopause, when a woman’s monthly periods stop naturally.
The implant can be removed at any time by a specially trained doctor or nurse. It only takes a few minutes to remove, and a local anaesthetic will be used. The doctor or nurse will make a tiny cut in your skin to gently pull the implant out.
As soon as the implant has been removed, you’ll no longer be protected against pregnancy.
Getting Pregnant On Nexplanon
Although the chances of getting pregnant while on Nexplanon implantation is very rare, it is still possible. If you are pregnant while on Nexplanon than you have higher chances that you pregnancy will be ectopic than the women who do not use birth control. Ectopic pregnancy occurs when the fertilized eggs gets attached to any place other than the uterus .
The symptoms of an ectopic pregnancy are vaginal bleeding which is heavier or lighter than your usual period, sharp or stabbing pain that will come and go and vary in intensity usually in the abdominal or pelvis region. Ectopic pregnancy can cause serious internal bleeding, infertility and even death. It is highly advised to contact you health care provider if you think you might be pregnant.
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How To Get The Nexplanon Birth Control Implant
You must get Nexplanon from a doctor, gynecologist, or nurse practitioner whos familiar with the process of subdermally inserting or removing the implant. Nexplanon isnt available through traditional pharmacies like many forms of birth control.
Talk to your healthcare professional to make sure Nexplanon is the best birth control option for you, keeping in mind the side effects and risks involved. The cost of the procedure can range from $0 to $1,300, depending on your insurance coverage. Removal of the implant can cost up to $300. Your insurance may cover both the procedure and the implant itself, but check with them first its usually considered a medical benefit. Most insurances cover the Nexplanon implant, its insertion, and removal. If your insurance does not pay for it, you may contact the CoverHer program at nwlc.org/coverher for assistance.
You may be able to get Nexplanon for free or at a discounted rate at certain health centers. In the end, the birth control implant may be as expensive or even less expensive as what youd pay for other forms of birth control in the long run, depending on your insurance coverage. You can also use SingleCare for discounts on Nexplanon at some specialty pharmacies. Youll also find SingleCare discounts for other forms of birth control, such as the NuvaRing, the Xulane patch, the Depo-Provera shot, the combination birth control pill, and the minipill.
