"Nov. 20, 2012 -- Oral contraceptives should be made available without a prescription to reduce unintended pregnancies, according to a newly published opinion by the American College of Obstetricians and Gynecologists (ACOG).
Implanon Patient Information including How Should I Take
In this Article
- What is etonogestrel implant (Implanon)?
- What are the possible side effects of etonogestrel implant (Implanon)?
- What is the most important information I should know about etonogestrel implant (Implanon)?
- What should I discuss with my healthcare provider before receiving the etonogestrel implant (Implanon)?
- How is the etonogestrel implant used (Implanon)?
- What happens if I miss a dose (Implanon)?
- What happens if I overdose (Implanon)?
- What should I avoid while taking etonogestrel implant (Implanon)?
- What other drugs will affect etonogestrel implant (Implanon)?
- Where can I get more information?
What should I discuss with my healthcare provider before receiving the etonogestrel implant (Implanon)?
Do not use an etonogestrel implant if you are pregnant. If you have recently had a baby, wait at least 3 weeks (4 weeks if breast-feeding) before receiving an etonogestrel implant.
You should not use this implant if you are allergic to etonogestrel, or if you have:
- a history of heart attack, stroke, or blood clot;
- a history of hormone-related cancer such as breast or uterine cancer;
- unusual vaginal bleeding that has not been checked by a doctor; or
- liver disease or liver cancer.
To make sure you can safely use the etonogestrel implant, tell your doctor if you have any of these other conditions:
- high cholesterol or triglycerides, or if you are overweight;
- high blood pressure;
- gallbladder disease;
- kidney disease;
- an ovarian cyst;
- a history of depression; or
- if you are allergic to numbing medicines.
The etonogestrel implant should not be used in girls younger than 18 years old.
Do not use the implant if you are breast-feeding a baby younger than 4 weeks old.
How is the etonogestrel implant used (Implanon)?
Etonogestrel implant is inserted through a needle into the skin of your upper arm, just inside and above the elbow. The implant will be placed in your arm under local anesthetic in your doctor's office or other clinic setting.
Before receiving this implant, you may need a pregnancy test to make sure you are not pregnant.
The timing of when you will receive this implant depends on whether or not you were using birth control before, and what type it was. Follow your doctor's instructions.
This implant must be inserted only by a physician or other healthcare provider who has been specially trained in the insertion of the etonogestrel implant. Incorrect placement of the rod too deeply can make it difficult or impossible to remove later on. If the rod is incorrectly inserted and falls out, you will not be protected from unintended pregnancy.
Once the implant is inserted, you should be able to feel it under your skin. Tell your doctor if you cannot feel the implant under the skin at any time while it is in place.
Etonogestrel is released slowly into the body from the implant. The implant can remain in place to provide continuous contraception for up to 3 years. If the implant is placed correctly, you will not need to use back-up birth control. Follow your doctor's instructions.
After the implant is inserted, your doctor will cover your arm with two bandages. You may remove the top bandage after 24 hours, but leave the smaller bandage on your arm for 3 to 5 days. Keep the area clean and dry while wearing the bandage.
You will most likely have irregular and unpredictable periods while using the etonogestrel implant. Tell your doctor if your periods are very heavy or long-lasting, or if you miss a period (you may be pregnant).
Your doctor will need to see you on a regular basis while you are using this medication. You may also need to have routine mammograms. Do not miss any appointments.
If you need surgery or medical tests or if you will be on bed rest, you may need to have your etonogestrel implant removed for a short time. Any doctor or surgeon who treats you should know that you have an etonogestrel implant.
The etonogestrel implant must be removed by the end of the third year after it was inserted and may be replaced at that time with a new implant. If you choose not to replace the implant, your ability to get pregnant will return quickly. Some women have become pregnant within the first week after removal of an etonogestrel implant. Start using another form of birth control right away if you wish to avoid an unintended pregnancy.
Do not use etonogestrel implants for longer than recommended by your doctor.
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