How Is The Implant Placed
For someone who wishes to use a hormonal implant to prevent pregnancy, she must not be pregnant when the implant is inserted. A medical provider will apply a local anesthetic to the inside of the upper arm and insert the implant under the skin with a special needle.
Once it is placed, it doesnt require any maintenance or need to be replaced for at least three years; some hormonal implants can last up to five years. Because the skin is numbed, you should not feel pain from the placement of the implant although the needle stick for the injection of the anesthetic might cause slight pain.
What Are The Risks Associated With The Implant
Complications from the birth control implant are incredibly rare, but they are possible. Its normal for there to be some pain at the injection site for a few days, but some women may experience pain at the injection site that lasts longer.
Although rare, implants can get infected, and sometimes the skin will scar from the injection. Its important that women have access to an informed team of healthcare providers and are aware of the signs of infection or other side effects to discuss with their doctor:
- Oozing, redness, bleeding, or pain at the injection site that does not go away.
- Yellowing of the skin and eyes.
- Abnormal vaginal bleeding.
- Implant seems to have moved.
Implants can break while under the skin or fall out on their own but this does not happen often. If an implant breaks, it will need to be surgically removed; if an implant falls out, a woman should use a backup birth control method, such as condoms, until she has a new implant inserted.
In incredibly rare cases, some women will become pregnant while using the birth control implant. It has a 99% effectiveness rate meaning for every 100 women who use an implant, one will become pregnant within one year of using the device. That makes the implant even more effective than tubal ligation .;
Indications For Use Of Hormone Replacement Therapy Implants
As mentioned above, HRT implants are used less frequently than other methods of taking hormonal drugs. But, this in no way lessens their generally accepted evidence-based effectiveness. For objective reasons, most often, hormone-containing capsules are prescribed by doctors to women who have undergone a hysterectomy, as well as to those females who have both ovaries removed. Estradiol and testosterone implants are the most effective method for these patients.
No less serious indications for the use of HRT implant are the following conditions:
- menopausal hormonal depression;
- loss of bone density;
- inadequate response to oral estrogen medications.
Professor John Studd, in his study of the level of estradiol for bone density, noted that a gradual increase in the latter is directly related to the level of estradiol, which was achieved after a course of hormone therapy. From the stated above, it follows that HRT implants are almost an ideal solution to the problem of fragility of bones in women of menopausal age. With an increase in the dosage of the hormonal implant, the percentage of bone density in the lumbar spine also increases.
Typical symptoms of the menopausal period usually subside after 14-16 days, that is, about two weeks after the therapy beginning. In turn, as the date of the necessary replacement of the HRT implant approaches, the symptoms will return and can be quite pronounced. This can begin to happen starting from the 5th month of using the hormone capsule.
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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.
How Much Do They Cost
Most insurance covers either method. With insurance, youâll probably pay a monthly copay between $0 and $50 for the pill. If your insuranc covers the implant, uou’ll pay a copy for the visit to get it put in and removed.
There are options if you donât have insurance. Family planning clinics will usually provide the pill, Nexplanon, or some other form of safe birth control at little or no cost to you.
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Who Might Choose To Use The Contraceptive Implant
A woman who:
- wants effective, long lasting and reversible contraception
- is willing to accept changes to her menstrual cycle.
The implant may be especially suitable if you:
- have difficulty remembering to take birth control pills
- don’t like other contraceptive methods or find them unreliable
- can’t take the hormone oestrogen.
The implant is one of many different contraceptives. Talk to your health practitioner about the choices available and the one that suits you best.
Getting Contraception During Coronavirus
If you need contraception, call your GP surgery or a sexual health clinic as soon as possible. Only go in person if asked to.
It might not be possible to have an implant fitted or replaced at the moment.
You normally have a contraceptive implant for 3 years, but it can be left in and will continue to work for up to 4 years.
The risk of getting pregnant during the 4th year is very low. If youre worried about getting pregnant, you could use condoms or the progestogen-only pill as well.
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The Connection Between Estrogen And Endometriosis
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For those unfamiliar with the underpinnings of endometriosis, many may be surprised to find out that the disease is often fueled by estrogen. Estrogen is the primary female sex hormone and is vital in the sexual and reproductive development of women. There are 4 types of estrogen: estrone , estradiol , estriol , and estetrol . Estriol is the most plentiful of these estrogens, but estradiol is the strongest, as well as the most active and prominent, during a womans reproductive years .
So, if estrogen is a dominant hormone found in all people who menstruate, how come only a fraction of those who ovulate and menstruate suffer from endometriosis?
Oral Contraceptives And Antibiotics
Numerous anecdotal observations have suggested that antibiotics may reduce oral contraceptive efficacy. For rifampin, its ability to induce liver enzymes increases steroid metabolism, and this can distinctly reduce the efficacy of oral contraceptives. For the other antibiotics, the relationship to and possible effects on oral contraceptive efficacy are not clear-cut. Putative antibiotic-induced mechanisms responsible for reduced efficacy of oral contraceptives include increased urinary and fecal excretion, decreased enterohepatic circulation or intestinal absorption, enhanced fecal excretion, and/or estrogen or progesterone receptors that have been pharmacologically blocked.
Anna Glasier, in, 2016
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What Is The Procedure Like
Before the procedure:;You will be asked to read and sign a consent form which gives your health care provider permission to insert the hormonal implant.
The procedure:;Your upper arm is cleaned with a special soap. Numbing medicine is then injected just under the skin of your upper arm to lessen the discomfort. Next, using a special tool, your health care provider pushes the implant through a needle under the skin. This is a minor procedure that takes less than 5 minutes with minimal discomfort.
After the hormonal implant is inserted:;Your health care provider will go over home-care instructions with you and will cover the site with 2 bandages. The top bandage can be removed in 24 hours. The smaller bandage can be changed to a new one each day. The insertion site should be kept covered for about 3-5 days. This will keep the site clean and dry as it heals.
Approved Uses For Zoladex
- ZOLADEX is approved by the FDA for use in combination with another drug, flutamide, for the management of Stage T2b-T4 prostate cancer. Treatment with ZOLADEX and flutamide should start 8 weeks before the start of radiation therapy and continue during radiation therapy.
- ZOLADEX is also approved by the FDA to lessen or relieve symptoms in patients with advanced prostate cancer.
- ZOLADEX is approved by the FDA to lessen or relieve symptoms of HR+ advanced breast cancer in premenopausal and perimenopausal women. Estrogen and progesterone receptor values may help predict whether ZOLADEX therapy is likely to be beneficial.
- ZOLADEX is indicated for the management of endometriosis, including pain relief and reducing endometrial lesions, for 6 months of therapy.
- ZOLADEX is also approved to thin the lining of the uterus before a procedure that destroys this lining , which helps with extreme uterine bleeding.
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Who Cannot Use The Implant
Most women can use the implant, however, you should not use it if:
- you are pregnant
- you have or have had;a clotting disorder
- you have liver;problems
- you have abnormal vaginal bleeding
- you have or have had breast cancer or endometrial cancer.
Discuss with your doctor or nurse if the implant is safe for you.
The Implant Is Convenient And Private
Once your Nexplanon is in, you barely have to think about it it works until it expires or you have it taken out. That means no trips to the pharmacy, no pill to take or ring to put in, and nothing you have to do before sex to prevent pregnancy. Most of the time you cant see the implant under your skin, so nobody knows you have it unless you tell them.
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What Is The Minipill
The minipill is a type of oral contraceptive that contains pills that only have progestin.
None of the pills in the pack have any estrogen. The dose of progestin varies and is dependent on the formulation used in the birth control pill.
A minipill package consists of 28 pills, all of which contain the hormone progestin. It doesnt contain any placebo pills.
To maximize the minipills effectiveness, youll need to take the pill at the same time every day.
If you miss a dose even by as little as 3 hours youll need to use a backup method of birth control for at least 2 days to be on the safe side.
Theres a new FDA-approved progestin-only pill called Slynd. It can be taken within a 24-hour period and still not be considered a missed dose, unlike the current progestin-only pill.
Because this pill is so new, there may currently be limited information and access. To learn more about Slynd, talk to your doctor.
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.
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Combination Birth Control Pills
Brand Name: Yaz®, Seasonique®, Ortho Tri-Cyclen®, Lybrel®, and many more.
Effectiveness: High. With perfect use, fewer than 1 in 100 pill users will become pregnant. With typical use, 9 in 100 pill users will become pregnant.
What is it?
The birth control pill is a daily pill to prevent pregnancy. Most pills are taken daily for three weeks in a row, then discontinued for one week, during which time you usually get your period. The pill is also safe to use continuously, leading to no period. Birth control pills are most effective when taken at the same time every day.
How does it work?
Combination birth control pills contain the hormones progestin and estrogen, the same hormones that are in the patch and the vaginal ring. These hormones prevent pregnancy by preventing ovulation and thickening cervical mucus, creating a barrier to sperm entering the uterus.
There are many different pills on the market with varying amounts or types of progestin and estrogen. If the Pill you are using is not a good fit, it may be worth discussing with your provider other types of the Pill or the patch or ring, described in this post, which use the same hormone combination but have a different delivery method.
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.
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What Is The Contraceptive Implant
The contraceptive implant is a small, flexible rod about the size of a match stick. The implant is put under the skin of the upper arm. It can stay there for up to 3 years. The implant slowly releases a progestogen hormone called etonogestrel into the blood stream. This can prevent pregnancy for up to 3 years.
Progestogen hormones are also used in the contraceptive pill and are like the natural hormone progesterone that is made by the ovary. The contraceptive implant available in Australia is called Implanon NXT.
Are There Any Side Effects From Using The Implant
When the implant is first inserted and when it is removed, you may have some bruising and tenderness on your arm. This may last for up to a week. Wearing a bandage over your arm for 24 hours helps reduce bruising and tenderness. You may also develop a small scar where the implant was inserted and removed.
Your vaginal bleeding pattern will change. It might be more often and/or irregular . Around 20% of people using the implant will have no bleeding at all . Around 20% of people have frequent or prolonged bleeding which may get better with time. Some medications can help with this bleeding, speak to your doctor or nurse for more information.
Other possible side effects for a small number of users can include:
- sore/ tender breasts
- mood changes.
These side effects often settle with time. The implant has not been shown to cause weight gain.
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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.
How Is The Implant Removed
A doctor or other trained provider will apply a local anesthetic to the area where the implant was placed. After making a small incision near the implant, they will pull it out from under the skin. Once the implant is removed, the contraceptive effects will quickly wear off within 1-3 days. Note that it is possible for a woman to get pregnant as soon as the implant is removed.
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Can The Implant Alleviate Certain Health Issues Or Hormonal Imbalances
The implant can decrease the severity and frequency of menstrual cramps because it makes the lining of the uterus thin, meaning theres less lining and blood. Plus, one in three women who use the birth control implant will stop getting a period within one year of having the implant inserted.;
The other 70% of users with uteri may find that their periods are much lighter than before they got the implant. However, in contrast to birth control pills, the implant cannot be used to regulate periods. It can cause no periods, regular periods, or extra spotting. One study reported that 78% of implant users experienced some form of irregular bleeding over a 3-month period.
These bleeding irregularities do not normalize over time but can remain random and unpredictable throughout the three years of use. That being said, the bleeding is not heavy and the median number of bleeding-spotting days is slightly lower than women experiencing natural menstrual cycles. A favorable bleeding pattern within the first three months of use may predict a continued favorable pattern during the remainder of use.
The implant can also improve acne and pelvic pain, and prevent ovarian cyst enlargement.