Contraception: Implant services

Current implant users can keep an implant in place with low risk of problems beyond 3 years. Some research shows it is unlikely women will get pregnant with the implant in the 4th year of use. Adding condoms or a progestogen-only pill would be an additional protection.

The implant is a small plastic rod which is inserted under the skin of your upper arm.

The implant (Nexplanon) slowly releases a low dose of a progesterone hormone. It is the most effective method of contraception currently available, and you are the least likely to get pregnant using the implant.

This method is highly reliable. It lasts for three years, but you can have it removed sooner. Some women have no periods on this method, some women have a regular bleed, and some women have irregular bleeding.

To book an appointment please call us on 0113 274 477. There may be a wait of up to 2 months.

For further information on the implant and the fitting procedure please follow this link to the NHS website:

Please fill in the consent form below if you have an upcoming appointment for an Implant fitting or removal

Implant Consent form
CONSENT TO INSERT or REMOVE NEXPLANON

• Nexplanon is licensed to have a contraceptive effect for three years after insertion. At or before 3 years it needs to be removed and replaced or another form of contraception used.
• Nexplanon is a highly effective form of contraception (more than 99% effective). It is a hormonal contraception (progesterone only contraceptive).
• The most common side effect of Nexplanon is a change in your normal menstrual bleeding pattern. You may have irregular bleeding that can persist for several months, which can be heavy, moderate or light.
• You may get an increase in spots, acne, bloating and headaches or if you suffer from migraine it may increase episodes of migraine. There are other side effects and this can vary including mood changes.
Insertion

• Once inserted Nexplanon takes 7 days to be fully effective as a method of contraception, therefore another form of contraception needs to be used during this time.
• On insertion a small amount of local anaesthetic is used to numb the area and the device is inserted using an introducer under the skin. Please let the clinician know if you have an allergy to local anaesthetic or dressings.
• After insertion the clinician will ask that you feel the device is in situ.
• After the procedure a dressing will be applied and you will need to keep the area clean and dry for 5 days. Do not keep palpating the area as you may expel the device this is in the first 5 days until the skin heals.
• There is a small chance of infection at the site so please report any signs e.g. pus / redness
• You may have a small scar at the insertion site.
• You should check periodically over the 3 years you have the device that is palpable — if you cannot feel the device you should seek medical advice from your GP or family planning clinic.
• There are rare instances of migration of an implant or implant insertion into a blood vessel.
• You must not have any risk of pregnancy prior to insertion.
• You will be given a card with the insertion date and 3 year removal date. It is the patient’s responsibility to keep the removal date safe.

Removal

• If the implant is not palpable by the clinician you will be referred to a specialist clinic for removal instead.
• A small dose of local anaesthetic is injected into the skin at the lower end of the implant to numb the area. When numb, a small cut is made through which the implant can be pushed to remove it.

• After removal, the hormone levels from the implant become undetectable within a few days and you can become pregnant straight away.

Please tick the boxes to confirm that you have understood and agreed to the following: *

https://www.nhs.uk/conditions/contraception/contraceptive-implant/