Progestin implants

From WikiMD's Food, Medicine & Wellness Encyclopedia

Progestin implants are a form of long-acting reversible contraception (LARC) that are used to prevent pregnancy. They consist of small rods, about the size of a matchstick, which are inserted under the skin of a woman's upper arm. These implants release a synthetic form of the hormone progestin into the body over a period of several years.

Overview[edit | edit source]

Progestin implants work primarily by preventing the release of an egg from the ovary (ovulation). They also thicken the cervical mucus, making it more difficult for sperm to enter the uterus, and thin the lining of the uterus, which may prevent a fertilized egg from implanting. The most common brand of progestin implant available in many countries is Nexplanon, previously known as Implanon.

Insertion and Removal[edit | edit source]

The insertion of a progestin implant is a quick procedure that can be done in a healthcare provider's office. It involves numbing a small area of the arm with a local anesthetic, making a tiny incision, and then inserting the implant. The process usually takes less than 10 minutes. Removal of the implant involves a similar procedure and can be done at any time by a trained healthcare provider. After removal, fertility typically returns to normal very quickly.

Advantages[edit | edit source]

Progestin implants offer several advantages as a contraceptive method. They are highly effective, with a failure rate of less than 1% per year. They are also long-lasting, providing up to 3 to 5 years of pregnancy prevention depending on the brand. Additionally, they are convenient, requiring no daily action or routine maintenance after insertion. This method is also reversible, allowing for the return of fertility upon removal of the implant.

Disadvantages[edit | edit source]

While progestin implants are suitable for many women, they may not be right for everyone. Some potential disadvantages include irregular menstruation, with some women experiencing longer, shorter, or skipped periods. Other possible side effects include mood changes, weight gain, acne, and headaches. It's important for individuals to discuss their health history and concerns with a healthcare provider to determine if progestin implants are an appropriate contraceptive choice.

Conclusion[edit | edit source]

Progestin implants are a safe, effective, and convenient form of long-term contraception. They offer a high level of protection against pregnancy and can be an excellent choice for women seeking a hassle-free and reversible contraceptive method. As with any medical decision, it's crucial to consult with a healthcare provider to discuss individual needs and circumstances.


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Contributors: Prab R. Tumpati, MD