Implant Flashcards
1
Q
What is the mode of action of the implant?
A
Progestogen release:
Prevents ovulation
Cervical thickening
Thinning of endometrium
2
Q
What is the failure rate of nexplanon?
A
0.05%
3
Q
What reduces effectiveness of implant
A
Enzyme inducers
4
Q
When to initiate implant?
A
Can be put in at any time, but need to make sure patient is not pregnant.
Works immediately if within first 5 days of cycle, otherwise use condom for 7 days.
Can be put in within first 21 days postpartum - otherwise condom for 7 days.
Safe in breastfeeding
5
Q
What reduces effectiveness of implant
A
Enzyme inducers: Anti-epileptics Anti-retrovirals St John's wort Some TB medication (rifabutin and rifampicin)
6
Q
Side effects of implant?
A
Irregular, light or heavy periods in first year.
Amenorrhea is a common side effect.
Headaches
Acne
