Skip to Content
Skip to Navigation

Implanon™

What is Implanon™?

Implanon is a small, thin, implantable hormonal contraceptive.  It is a flexible plastic rod the size of a matchstick that is put under the skin of your arm and is effective for up to three years. 

Implanon is a progestin-only method of birth control. Because it does not contain estrogen, your healthcare provider may recommend it even if you cannot use estrogen. 

Implanon must be replaced every three years.  Your healthcare provider can remove the implant at any time. If you want to become pregnant after removal, your ability to get pregnant may return quickly. If you don't want to get pregnant, you should begin another birth control method right away.

How does Implanon work?

Implanon prevents pregnancy in several ways. The most important way is by stopping release of an egg from your ovary. It  also changes the mucus in your cervix, which acts as a barrier to sperm reaching and fertilizing an egg. In addition, it changes the lining of your uterus.  It is important that you continue your routine annual exams and Pap smears.

How is Implanon inserted?

Implanon  insertion is a minor procedure using a local anesthetic. It usually takes just a few minutes, and is performed during a normal office visit. During the procedure, you may feel a pinching sensation, similar to receiving a shot or injection.  

Most women are not able to see Implanon  after it has been inserted.  You should be able to feel where the implant is by gently pressing on your skin in the area where it was inserted. To reduce the risk of infection, it is advised to avoid touching the site of insertion until it has healed

What about removal?

Implanon must be removed by the end of the third year. It is removed by making a small incision in your arm after numbing the area with local anesthetic.

If you wish to continue using Implanon at the end of three years, a new Implanon can be inserted in the same place as the old one during the same procedure. Implanon can be removed sooner if pregnancy is desired.

Will the insertion or removal of  Implanon leave a scar?

There is a slight risk that you will get a scar from insertion or removal of Implanon.  Women with a family history of developing keloids (raised, thickened scars) are more likely to scar.  

How effective is Implanon?

Implanon  is more than 99% effective: the chance of getting pregnant is less than 1 pregnancy per 100 women.  

The effectiveness of Implanon  may be decreased for overweight women or women who are taking certain medications.

Implanon does not protect against infection from HIV or other sexually transmitted diseases.

What are the side effects of  Implanon?

The most common side effect of Implanon is a change in your menstrual periods. Your menstrual period may be irregular and unpredictable while using Implanon.  Other side effects may include:

  • Headache
  • Vaginitis (inflammation of the vagina) or vaginal discharge
  • Weight gain
  • Acne
  • Breast pain
  • Abdominal pain
  • Painful periods
  • Mood swings, nervousness, or depression
  • Nausea or dizziness

What are the potential risks?

Potential risks include:

  • Complications of insertion and removal:
    • Pain, irritation, swelling or bruising
    • Infection
    • Implant shifting or breakage making removal difficult
    • Expulsion of the implant
    • Permanent scarring
    • Ectopic pregnancy: if you become pregnant (your risk of pregnancy is less than 1%), there is a slightly increased risk of having a pregnancy outside the uterus
  • Complications from the interaction with other medicines (Tell your healthcare provider about any medicines you are taking, or intend to take, including over-the-counter medicines, herbal supplements, and prescription medicines.) 
  • Ovarian cysts (these rarely require surgical intervention)
  • Thrombosis (blood clots)

Who should not use  Implanon?

Do not use Implanon if you:

  • Are pregnant or think you may be pregnant
  • Have, or have had serious blood clots, such as blood clots in your legs (deep venous thrombosis), lungs (pulmonary embolism), eyes (retinal thrombosis), heart (heart attack), or head (stroke)
  • Have unexplained vaginal bleeding
  • Have liver disease
  • Have breast cancer, now or in the past
  • Are allergic to anything in Implanon

Tell your clinician if you have ever had any of the conditions just listed and to determine if Implanon is an appropriate form of contraception for you.

How do I get Implanon?

Call for an appointment with the family planning counselor at 206-616-2495.

The timing of insertion is important and quite exact:

  • If not on hormonal contraceptives: days 1 to 5 of the menstrual cycle. (Day one is the first day of menstrual bleeding.)
  • If switching from combination (estrogen and a progestin) hormonal contraception (birth control pills, the Nuvaring, or the Ortho Evra patch): anytime within 7 days of the last active combined dose.
  • If switching from a progestin-only method: any day during the active pill cycle (but important not to skip any dose) OR on the day the next Depo-Provera shot would be due.
  • Within 5 days of a 1st trimester abortion or miscarriage.
  • After the 4th postpartum week if exclusively breast-feeding.

Where can I learn more about Implanon?

For detailed information about Implanon, visit http://www.implanon.com/.  

Your clinician can also answer questions you may have about the contraceptive.

Problems and Questions

If you have any questions, you may call the consulting nurse service for further information.

Authored by:  Ingrid Helsel, RN, Heather Larson, and Charles Petty, MD