Implantable contraceptives Flashcards
What is an implantable contraceptive?
Non-biodegradable subdermal contraceptive implant
What is the name of the most commonly used implantable contraceptive?
Nexplanon
What is the method of action of the implantable contraception?
Progesterone releasing
Interferes with ovulation- thickens the cervical mucus and thins the lining of the uterus.
What hormone is utilised in the implantable contraceptive?
Progestogen
How long does nexplanon last?
3 years
What is it the implant the most effective form of?
The most effective form of contraception
What is the advantage of the implant not containing oestrogen?
Can be used if past history of thromboembolism, migraine
How soon can the implant be administered after terminating a pregnancy?
Immediately following a termination of pregnancy
What is required for the first 7 days if not inserted on day 1 to 5 of a woman’s menstrual cycle?
Additional contraceptive methods
What are the main adverse effects of the implant?
Irregular/heavy bleeding
‘Progestogen effects’
How can the irregular/heavy bleeding be managed in someone with the implant?
Co-prescription of the combined oral contraceptive pill.
What are Progestogen effects?
Headache
Nausea
Breast pain
How can periods be affected by the implant?
Stop
Become irregular
Last longer
What can occur at the site of insertion of the implant?
Tenderness
Bruising
Swelling at the site of insertion.
What drugs can reduce the efficiency of Nexplanon?
Antiepileptics
Rifampicin
