A contraceptive implant is a reversible and long-term contraception for women who do not want to get pregnant anytime soon. In this guide, we’ll explain how contraceptive implants work, as well as their benefits, risks and effectiveness to help you decide for your own reproductive health.
What Are Contraceptive Implants?
A contraceptive implant is a small, flexible plastic rod (about the size of a matchstick) that is inserted under the upper arm’s skin. It is a long acting reversible contraception, typically providing protection against unplanned pregnancy for up to 3 years.
A contraceptive implant releases a hormone (progestin) into your body. This hormone helps prevent pregnancy in several ways: it stops ovulation, thins the uterus lining to prevent implantation of a fertilised egg and thickens cervical mucus to prevent sperm from reaching an egg.
However, this contraceptive option cannot protect you from sexually transmitted infections.
Cost of Contraceptive Implants
The cost of a contraceptive implant in Singapore can vary between clinics. Generally, the cost ranges between $600 and $800. Get in touch with your healthcare provider to get the exact price.
Benefits of Contraceptive Implants
Contraceptive implants offer several benefits that make them a popular choice for many individuals. Here are some of the key advantages:
- Highly effective – Birth control implants generally have a success rate of over 99%, making them one of the most reliable forms of contraception available.
- Long-lasting – They provide protection against pregnancy for up to 3 years, which means you don’t need to worry about contraception for an extended period.
- Low maintenance – Once inserted, there are no daily pills to remember or frequent doctor visits required, making it a convenient option for those who prefer a hassle-free method for birth control.
- Reversible – Fertility typically returns quickly after the implant is removed, allowing you to plan for pregnancy when you’re ready.
- Safe for breastfeeding women – Unlike estrogen-based birth control methods, contraceptive implants are generally safe for women who are breastfeeding, as they do not contain estrogen.
- Menstrual benefits – They may help reduce menstrual cramps and lighten periods, which is beneficial for those who experience heavy or painful menstruation.
- Endometriosis symptoms – Some women may experience an improvement in symptoms of endometriosis, as the progestin can help reduce menstrual flow and alleviate associated pain.
Effectiveness of Contraceptive Implants
How Effective Are They?
Birth control implants are effective when properly inserted. This makes them one of the most reliable forms of contraception available. Once inserted, they provide continuous protection against pregnancy without the need for daily pill-taking or the use of condoms during each sexual encounter.
| Method | Effectiveness |
|---|---|
| Contraceptive implant | Over 99% |
| Intrauterine device (IUD) | Over 99% |
| Contraceptive pills (when taken correctly) | About 93-97% |
| Condoms | About 60-70% |
Factors That Can Affect Effectiveness
- Proper placement and insertion – The effectiveness of birth control implants depends on proper placement and insertion, which a healthcare professional should do. Incorrect placement can reduce its effectiveness.
- Certain medications – Certain medications (e.g., some protease inhibitors, retinoids, antibiotics, etc.) may interact with the hormones released by the implant and potentially reduce its effectiveness.
- Obesity and metabolism rates – While generally effective, obesity and variations in metabolism rates may slightly reduce the effectiveness of contraceptive implants in some individuals. However, this effect is typically minimal.
Who Can and Cannot Use Contraceptive Implants?
Contraceptive implants are a suitable option for many individuals, but may not be for everyone.
Who Is a Good Candidate?
Birth control implants are well-suited for:
- Individuals seeking long-term birth control – If you are looking for a reliable method that protects against pregnancy for several years, a contraceptive implant might be a good choice.
- Those who cannot take estrogen-based contraceptives – If you are unable to use estrogen-based contraceptive methods due to health reasons, a progestin-only implant could be an alternative.
- Women who want a low-maintenance option – Since implants require minimal upkeep after insertion, they are ideal for those who prefer not to worry about daily pills or frequent doctor visits.
Who Should Avoid It?
Certain individuals should avoid using contraceptive implants due to potential health risks.
- History of blood clots or stroke – If you have a history of serious blood clots or stroke, you may need to avoid hormonal contraceptives, including implants.
- Unexplained vaginal bleeding – If you experience unexplained vaginal bleeding, it is important to address this issue before considering using a contraceptive implant.
- Severe liver disease – Women with severe liver disease should consult with a healthcare provider first.
- Certain types of cancer – If you have been diagnosed with certain types of cancer, such as breast cancer, you should discuss your options with a healthcare provider, as hormonal contraceptives may not be recommended.
How is a Contraceptive Implant Inserted?
The insertion of a contraceptive implant is a straightforward procedure that requires a visit to a women’s health clinic.
Step-by-Step Procedure
Here’s what you can expect during the insertion procedure:
- Consultation with a healthcare provider – Before the procedure, a consultation with a healthcare provider will take place to ensure that a contraceptive implant is suitable for you. This is an opportunity to discuss any concerns or questions about the implant.
- Insertion process – The insertion is typically quick and involves:
- Local anaesthesia – Local anaesthesia is injected into your upper arm to numb the area.
- Quick procedure – Your healthcare provider will insert the implant using an implant device. The procedure usually takes only a few minutes.
- Healing and aftercare tips – After the procedure, you may experience some bruising or swelling at the insertion site. Follow your healthcare provider’s advice on caring for proper healing, which includes keeping the area clean and avoiding strenuous activities for a few days.
How Long Does It Take to Work?
The effectiveness of the contraceptive implant depends on when it is inserted. If the implant is inserted during the first five days of your menstrual cycle, it will provide immediate protection against pregnancy.
If inserted at any other time, it takes about seven days to become effective. During this period, you may need to use a backup method of contraception to prevent pregnancy.
Possible Side Effects of Contraceptive Implants
While birth control implants are typically safe and effective, they may still cause side effects in some users.
Common Side Effects
Some of the most common side effects of contraceptive implants include:
- Changes in menstrual cycles – Many users experience changes in their menstrual cycles, such as irregular periods or no periods at all.
- Headaches, nausea and breast tenderness – These symptoms are often mild and temporary but can be uncomfortable for some users.
- Mood changes – Some individuals may experience mood changes, including anxiety or depression, although this is not universal and can vary widely among users.
- Weight Changes
Less Common but Serious Side Effects
While less common, serious side effects from birth control implants can occur:
- Insertion site complications – Pain, swelling or infection at the site where the implant was inserted can occur in some cases.
- Very rare side effects – Allergic reactions or migration of the implant are extremely rare but can occur. If you experience any unusual symptoms, it’s important to contact your healthcare provider immediately.
Can a Contraceptive Implant Cause Weight Gain?
There is mixed evidence regarding whether birth control implants can cause weight gain. Some women may experience weight gain, while others do not. The hormonal effects of the implant can potentially influence appetite and metabolism, which might contribute to weight changes in some individuals.
However, these effects vary widely among users, and not everyone will experience weight gain. If you have concerns about weight changes, it’s best to discuss them with your healthcare provider.
What Happens If You Want to Remove It?
If you decide that you no longer want to use a contraceptive implant, the removal procedure is straightforward.
How Is the Implant Removed?
The healthcare provider will numb the area where the implant is located with local anaesthesia. A small incision is made to remove the implant and covered by a bandage to protect the wound. The entire process usually takes less than 45 minutes.
After removal, you may experience some minor bruising at the site, but there are generally no long-term effects. Recovery is quick, and most people can resume their normal activities shortly after the procedure.
When Can You Get Pregnant After Removal?
The use of a contraceptive implant does not have a long-term impact on your ability to conceive. After birth control implant removal, fertility should return to normal, often within a month. This means you can get pregnant immediately soon after deciding to remove the implant.
Contraceptive Implants vs. Other Birth Control Methods
Contraceptive implants are one of many birth control options available. Here’s a brief comparison with other common methods:
| Method | Duration of Protection | Maintenance Required | Reversibility |
|---|---|---|---|
| Contraceptive Implant | 3 years | Low (insertion only) | Reversible |
| Intrauterine Device (IUD) | 5-10 years | Low (insertion only) | Reversible |
| Birth Control Pill | Daily use required | High (daily pill-taking) | Reversible |
| Condoms | Each use required | High (use before each act) | No hormonal impact |
| Patch | Weekly application | Medium (weekly application) | Reversible |
Where to Get a Contraceptive Implant?
Contraceptive implants are available from various healthcare providers and organisations. Here are some places where you can get a contraceptive implant:
- Hospitals – Obstetrician-gynaecology departments in large hospitals are a common place to obtain a contraceptive implant.
- Private women’s health clinic – Family doctors and women’s health specialists may also offer contraceptive implant insertion.
Conclusion
Contraceptive implants offer numerous benefits, including high effectiveness, long-lasting protection and low maintenance. They are over 99% effective when properly inserted and provide contraception for several years without the need for daily pills or frequent visits to the doctor. Additionally, they are reversible, allowing for quick return of fertility after removal.
Choosing the right contraceptive method is a personal decision that should be based on your unique needs and circumstances. Consider factors such as effectiveness, convenience, potential side effects and personal health considerations when making your decision.
Consult with a healthcare provider to determine if a contraceptive implant is the right choice for you based on your health history, lifestyle and preferences.
