Depressed Mood Women with a history of depressed mood should be carefully observed. Return to Ovulation In clinical trials with the non-radiopaque etonogestrel implant IMPLANON , the etonogestrel levels in blood decreased below sensitivity of the assay by one week after removal of the implant. In addition, pregnancies were observed to occur as early as 7 to 14 days after removal. Therefore, a woman should re-start contraception immediately after removal of the implant if continued contraceptive protection is desired.
Fluid Retention Hormonal contraceptives may cause some degree of fluid retention. They should be prescribed with caution, and only with careful monitoring, in patients with conditions which might be aggravated by fluid retention.
Contact Lenses Contact lens wearers who develop visual changes or changes in lens tolerance should be assessed by an ophthalmologist. Broken or Bent Implant There have been reports of broken or bent implants, which may be related to external forces e.
There have also been reports of migration of a broken implant fragment within the arm. Based on in vitro data, when an implant is broken or bent, the release rate of etonogestrel may be slightly increased.
When an implant is removed, it is important to remove it in its entirety. Effects of Other Drugs on Hormonal Contraceptives Substances decreasing the plasma concentrations of hormonal contraceptives and potentially diminishing the efficacy of hormonal contraceptives: Drugs or herbal products that induce certain enzymes, including cytochrome P 3A4 CYP3A4 , may decrease the plasma concentrations of hormonal contraceptives and potentially diminish the effectiveness of hormonal contraceptives or increase breakthrough bleeding.
Women should use an alternative non-hormonal method of contraception or a back-up method when enzyme inducers are used with hormonal contraceptives, and to continue back-up non-hormonal contraception for 28 days after discontinuing the enzyme inducer to ensure contraceptive reliability.
Studies of Implanon have not found that effectiveness decreases for heavier women within the lifespan approved for this type of implant.
What should be done if an implant user has an ovarian cyst? The great majority of cysts are not true cysts but actually fluid-filled structures in the ovary follicles that continue to grow beyond the usual size in a normal menstrual cycle. They may cause some mild abdominal pain, but they only require treatment if they grow abnormally large, twist, or burst. These follicles usually go away without treatment see Severe pain in lower abdomen. Can a woman work soon after having implants inserted?
Yes, a woman can do her usual work immediately after leaving the clinic as long as she does not bump the insertion site or get it wet. Must a woman have a pelvic examination before she can have implants inserted? Instead, asking the right questions can help the provider be reasonably certain she is not pregnant see Pregnancy Checklist. No condition that can be detected by a pelvic examination rules out use of implants.
Can young women, including adolescents, use implants? If a young woman wants to use implants, she can. In fact, implants and IUDs can be good methods for young women who want to be sure to avoid pregnancy for a number of years. They are highly effective and long-lasting methods. According to the Medical Eligibility Criteria, age is not relevant to implant use. All young women seeking contraception, whether married or not and whether or not they have had children, can safely choose from the full range of available contraceptive methods.
Healthwise, Incorporated, disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use. Learn how we develop our content. To learn more about Healthwise, visit Healthwise. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated. Updated visitor guidelines. Top of the page. Topic Overview The amount of time it takes for a woman's full fertility to return after stopping birth control varies for each woman and depends on the birth control method she is using.
Barrier methods. Can the implant cause any serious health problems? Reasons why the implant might not be a good option for you What if I am late having my implant changed or it has expired? What happens if I get pregnant while I am using the implant?
Can I use the implant after I have had a baby? What if I am using the implant and I want to become pregnant? What else should I know about the implant? Where to get more information and support. What is the contraceptive implant Implanon NXT? Photo of contraceptive implant How effective is the implant?
The implant works by preventing the ovaries from releasing an egg each month. Illustration of mucus in cervix Local anaesthetic: a medicine used to numb a part of your body for a short while. Need advice now? Visit one of our clinics. Stay informed Get the latest sexual and reproductive health e-newsletter. Tailored for you.
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