LONG ACTING REVERSIBLE CONTRACEPTION
- Intrauterine Device (IUD)
- Intrauterine System (IUS)
- Image of Contraceptive Implant
What is it?
A small flexible rod, about the size of a hairgrip, which is inserted under the skin in the upper arm under local anaesthetic. There is only one type that is prescribed in the South Africa at present, it is called Nexplanon. It contains the hormone progestogen.
The implant can be removed at anytime with immediate return of fertility.
How it works.
The implant slowly releases progestogen into the bloodstream preventing ovulation from taking place (releasing of an egg) and thickens the mucus around the cervix, making it difficult for sperm to get into the uterus. It also makes the lining of the uterus thinner so that it is less likely to accept a fertilised egg.
Advantages & Disadvantages
Advantages of Birth Control (Long acting Contraceptives)
- Does not interrupt sex
- Works for up to three years
- Can be used when breastfeeding
- You don’t have to remember to take it like the pill
- Can reduce heavy, painful periods
Disadvantages of Birth Control (Long acting Contraceptives)
- Does not protect against sexually transmitted infections (STIs)
- Requires a small procedure to fit and remove the implant
- Can cause temporary side effects, e.g. mood changes and breast tenderness
- Periods may change and you may have a bleeding pattern that you find unacceptable.
- Some women can find that their acne worsens
- Not suitable for women using enzyme inducing drugs.
- How effective is it?
- The implant is 99% effective.
- What makes it less effective?
- Some prescribed and complementary medicines.
Does not interrupt sex
Your periods normally become lighter, shorter, less painful and can stop completely after 12 months of use
Works 3- 5 years depending on the device fitted and can be removed at any time
Fertility will return to normal once the device is removed
Is not affected by other medicines
Some of the temporary side effects that can occur are:
Light bleeding or spotting between periods
How effective is it?
Over 99% effective.
All methods are available at our clinics – please discuss with us you your options following treatment.
For more information on different forms of contraception, go to our contraception advice page.