Polycystic Ovary Syndrome (PCOS): Diagnosis, Research & Management
Polycystic Ovary Syndrome (PCOS) is a common endocrine disorder that affects individuals with ovaries, often during their reproductive years. Characterized
Gynaecology > Hormone Implants
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Hormone implants are a long-term method of contraception, which can prevent you from becoming pregnant for three years. The implant is a small tube about 4cm in length, inserted by a doctor under the skin of your arm. The implant slowly releases progestogen into the body, thereby stopping the release of eggs from the ovaries.
It also changes the uterine lining and cervical mucus, making it more difficult for sperm to travel from the vagina, through the cervix, and into the uterus. With correct implantation, hormonal implants are more than 99% effective, with less than 1 in 1000 becoming pregnant whilst using this method.
The implant offers several advantages over other forms of contraception. Its long-term effectiveness is particularly beneficial for women who are certain they do not wish to conceive in the near future. This method is suitable for women who are sensitive to contraceptives containing oestrogen.
Unlike daily pill reminders, the implant provides continuous protection without the need for daily administration at a specific time. It is considered safe during breastfeeding. Importantly, the effects of the implant are reversible, allowing natural fertility to return shortly after its removal.
These features make the implant a convenient and flexible choice for many women seeking reliable birth control options.
Hormonal implants come with important considerations. Initially, tenderness, bruising, or swelling may occur in the first few days after the implant is fitted. The implant alters hormone levels, potentially affecting the regularity and intensity of menstrual periods; over time, these effects often stabilise within a year. In some cases, the implant may even stop periods altogether.
While highly effective against pregnancy, it offers no protection against sexually transmitted diseases (STIs). If you or your partner have multiple sexual partners or a known infection, using a barrier method in addition to the implant is advisable for added protection.
Hormonal implants may be a suitable option for you if:
Hormonal implants vs. oral contraceptives, condoms, and IUDs:
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You may be advised to review your medical history, current medications, and any concerns or questions you have about contraception.
The actual insertion of the hormonal implant is a minor surgical procedure performed under local anaesthesia. The healthcare provider will clean the area (usually the inner side of your upper arm), numb it, make a small incision, and insert the implant.
After insertion, your healthcare provider will ensure that the implant is correctly positioned under your skin. You will receive instructions on how to care for the insertion site, including keeping it clean and dry, avoiding strenuous activities for a short period, and when to seek medical attention if you notice any complications. You may experience some bruising, tenderness, or swelling around the insertion site, which should improve within a few days.
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