The contraceptive implant is a subcutaneous contraceptive inserted into the arm. It releases etonogestrel, a progestogen.
The implant resembles match-length spaghetti. It is effective for three years.
This contraceptive method has been available in Canada since August 2020.
Mode of action:
- It prevents ovulation.
Advantages
- It is a long-term contraceptive method (3 years).
- It generally reduces the duration of menstrual bleeding.
- It does not require a gynecological examination.
- It is an alternative to contraceptives that contain estrogen
Disadvantages
- It does not protect against sexually transmitted and/or blood-borne infections (STBBIs).
- The most common side effects are irregular bleeding, acne, headaches, weight gain, breast tenderness, and vaginal infections. In the event of side effects, it is advisable to wait 3 months before changing the contraceptive method, as these effects generally disappear after this period. However, if side effects are severe, you should consult a doctor as soon as possible.
- Taking certain medications can reduce its effectiveness.
- This method of contraception is contraindicated for certain people: women who are pregnant or think they may be, those with a history of arterial problems or thrombosis (blood clots), etc.
- For the time being, this contraceptive method cannot be prescribed by clinical nurses (2022).
How do I get a contraceptive implant?
You need to obtain a prescription for a contraceptive implant from a doctor or nurse. The implant costs approximately $350 to $400. It is covered by the Quebec Prescription Drug Insurance Plan (Régime d’assurance médicaments du Québec) and most private medical insurance plans. Once purchased at a pharmacy, you need to make an appointment with a doctor or nurse to have it inserted.
Instructions for use
A medical consultation is required for its insertion and removal. Insertion is similar to that of a catheter: the implant is slid under the skin of the non-dominant arm, and this requires no incision.
*It’s important to avoid physical training before its insertion. After its insertion, you can leave without any problem and are free to drive as well.*
When should the implant be inserted?
- It must be inserted between the 1st and 5th day of the menstrual cycle if hormonal contraception was not being used prior to using the implant.
- If the time of insertion is different from the recommended time, use another method of contraception (condom) for 7 days after its insertion.
- As a replacement for the combined pill, the implant must preferably be inserted the day after the last active tablet is taken.
- Finally, if you are replacing a patch or a vaginal ring, the implant must preferably be inserted on the day the contraceptive was due to be removed.