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Contraception

Implanon implants

The contraceptive implant, called implanon (the only one available in the UK) is a small tube that is put under the skin which contains a progestogen hormone. This hormone is released slowly into the bloodstream and works mainly by stopping ovulation (the release of the egg from the ovary). It also thickens the mucus made by the cervix which forms a 'mucus plug' in the cervix. This stops sperm getting through to the uterus (womb) to fertilise an egg. It also makes the lining of the uterus thinner. This means that if an egg was to fertilise, it is not likely to be able to attach to the uterus.

How effective is the contraceptive implant?

It is more than 99% effective. This means that less than 1 woman in 100 who uses this method of contraception will become pregnant each year.

Advantages of using Implanon:

  • You do not have to remember to take a pill every day.
  • You only have to think about contraception every 3 years.
  • It does not interfere with sex.
  • It can be used when breastfeeding.
  • Period pain is usually less than usual.
  • It can used by some women who cannot take pills that contain oestrogen.
  • It may help protect against pelvic infection. (The mucus plug in the cervix may help to prevent bacteria from travelling into the uterus.)

Disadvantages of using Implanon:

  • The release of progestogen will usually cause changes to the pattern of periods. During the first year it is common to have irregular bleeding. Sometimes periods are heavier and longer than before. They usually settle back into a regular pattern after the first year, but may remain irregular.
  • In some women the periods become infrequent