Contraceptive implant — the rods
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The contraceptive implant — or the rods — is a long-acting reversible contraception.
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The implant is:
- Very effective — typically, more than 99% effective at preventing pregnancy
- Long lasting — works for up to five years
- Fit and forget — you don’t need to remember do anything after it’s put in
- Reversible — you can have it taken out at any time, and become hapū afterwards
The implant isn't:
- Protection from sexually transmissible infections (STIs) — condoms and oral dams can protect against STIs
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How does the implant work?
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The implant is two small rods — about the size of matchsticks. The rods are put under the skin in your inner arm. They slowly release a hormone called progestogen, which can stop your body from releasing an egg each month. The implant also thickens the mucus in your cervix — so sperm cannot get to an egg.
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How well does the implant work?
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Typically, the implant is more than 99% effective at preventing pregnancy. This means that for every 100 people using an implant, fewer than one will become hapū every year.
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How long does the implant work for?
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The implant is a long-acting reversible contraception (LARC). The implant can be used for a few months, or up to five years to prevent pregnancy.
You can get your implant removed anytime you want.
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What are the advantages and disadvantages of the implant?
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Advantages?
- Long acting — works for up to five years
- No daily pill taking
- Doesn’t interfere with sex
- No one else needs to know you’re using it
- Useful for those who can’t take the combined pill — or if it’s hard to remember to take pills or get to appointments
Disadvantages?
- Doesn’t protect you from STIs
- You might have irregular periods or periods that last longer. This is quite common in the first 6 months — but it can last as long as you use the implant. This can be annoying, but it’s not harmful and the implant will still work. If the bleeding is a problem, you can get pills to help
- You might have a sore or bruised arm after the implant is put in or taken out
- There is a small risk of infection
- It’s not always easy for a nurse or doctor to find the implant when you want to have it removed. You might have to see someone else to get it taken out
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What are the side effects or risks of the implant?
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- You’ll feel the implant under your skin
- You might have a sore or bruised arm after the implant is put in — there is a small risk of infection
- Your period might change. That means you might bleed: very often, not often at all, or have light but persistent bleeding. You might have a normal period or no period at all. Irregular periods, or periods that last longer, are quite common in the first 6 months of the implant. This is all safe for your body. If your bleeding becomes a problem, there are pills you can take that will help. Call us for advice
- Studies show that implants don’t cause any change in your weight, mood, sex drive, or give you headaches
You shouldn’t use implants if:
- You’ve had breast cancer
- When you’re taking certain medications — tell your nurse or doctor about the medications you take
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What do you need to know about getting an implant for the first time?
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At your appointment, one of our medical professionals will ask you questions about yourself and your health. We want to make sure that the implant is the best option for you. If everything sounds good, they’ll put an implant into your arm.
It’s important that you’re not at risk of pregnancy when you first get your implant put in. Using contraception like condoms, or the pill, can lower your risk of pregnancy before you get your implant put in.
We might offer you a pregnancy test before putting the rods in.
The appointment usually takes 30-40 minutes from start to finish.
After the appointment, most people can get on with their day. It’s common to have a little bruising or tenderness for the next few days — avoid heavy lifting during this time.
If you get the implant between day 1 and day 5 of your period, then you will be safe from pregnancy straight away. At any other time in your cycle, you’ll need to use condoms for the first 7 days of having the implants.
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How is an implant put in or taken out?
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An implant must be put in or removed by a trained medical professional.
- An injection is used to numb part of your arm, so you don’t feel anything when the implant is put in
- The rods are put under the skin — special plasters are used to hold the skin together until the skin heals, and this is covered with a water resistant dressing
- The implant is taken out in the same way. It will leave a small scar
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Does an implant protect you from STIs?
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The implant doesn’t protect you from STIs.
The best way to protect yourself from STIs is to use condoms, lube, and oral dams when you have sex.
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Can you become hapū with your implant in?
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Pregnancy is very rare with the implant. If you do become hapū and want to continue with your pregnancy, you’ll need to have the implant taken out. There is no extra risk for your pēpi.
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Can you become hapū after your implant is taken out?
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You can become hapū as soon as your implant is taken out.
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How do you get an implant?
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Almost anyone, at any age, can get an implant.
Make an appointment with us — we can help you work out if the implant is the best contraception type for you. If you decide to get the implant, we can put it in for you.
Your implant needs to be put in or taken out in by a trained medical professional.
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How we can help you
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We are sexual wellness experts — our medical professionals are trained and practiced at putting in and taking out implants.
Anyone can visit our clinics. If you want to talk to us, we want to talk to you.
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Do you need urgent help?
If you require medical advice outside of our opening hours, call Healthline for free on 0800 611 116 anytime or get help from an after-hours medical centre or emergency services.