5.6 Progestogen-only implant Flashcards
Where is the progestogen-only implant place?
Below skin, above SC fat on the medial aspect of the upper arm.
How effective is the progestogen-only implant?
99% effective for 3 years
What is the name of the progestogen-only implant used in the UK?
Nexplanon
What does Nexplanon contain?
68mg of etonogestrel
What ages can use progestogen-only implant?
18 - 40 years old
What is the progestogen-only implant made out of?
4cm flexible plastic rod
There are few contraindication for progestogen-only implant, for what is it a UKMEC 4?
Active breast cancer
What is the mechanism of progestogen-only implant?
Inhibits ovulation
Thickens cervical mucous
Alters endometrium
What days can the progestogen-only implant be inserted?
Day 1-5 without extra precautions
After day 5 you need 7 days of condoms first
How is it inserted and removed?
Lidocaine + special device for insertion
Small incision to remove (contraception needed immediately after)
8 benefits of progestogen-only implant?
- effective and reliable
- can improve dysmenorrhoea
- periods may be lighter
- no weight gain
- no BMD effects
- no pills
- no VTE risk
- no obese restrictions
Drawback of progestogen-only implant?
- minor op for insertion and removal
- worsening of acne
- no STI protection
- can cause problem bleeding
- can get bent or fractured
- can become deep and impalpable (Ix needed)
What makes the progestogen-only implant radio-opaque?
Nexplanon adds barium sulphate which is radio-opaque
What can help manage problem bleeding with progestogen-only implant?
COCP for 3 months
According to FRSH 2014 what bleeding patterns can occur with progestogen-only implant?
1/3 infrequent bleeding
1/4 frequent or prolonged bleeding
1/5 have no bleeding
remainder have normal periods
