Implant Removal

What is a Contraceptive Implant?
The contraceptive implant (e.g. Nexplanon) is a small rod inserted under the skin of the upper arm that releases progestogen to prevent pregnancy. It is effective for up to 3 years.

Why Would I Need Removal?
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It has expired (after 3 years)
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You’re experiencing side effects
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You want to try for a baby
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You prefer an alternative contraceptive method

What is the NHS Criteria for this procedure?
DEEP CONTRACEPTIVE IMPLANT: *NO prior approval needed*
If a contraceptive implant is hard to remove. In the removal of a deep contraceptive implant – ‘deep’ would be described as not easy to palpate/locate and usually deep within the subcutaneous fat or below it.

Can It Be Treated Without Surgery?
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What is the Procedure?
Performed under local anaesthetic:
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A small incision is made in the arm
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The implant is located and gently removed
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The incision is closed with a paper strip or dissolvable stitch

What to Expect Before and After Surgery
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After Surgery:
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A small dressing is applied
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Bruising is common and fades over 1–2 weeks
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You can resume normal activity within a day, and after removal you should either consider another implant of other forms of contraception if this is still necessary.

What Are the Risks?
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Bruising or bleeding
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Difficulty locating the implant (rare)
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Infection at the wound site

How Do I Prepare?
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Frequently Asked Questions
Q: Will I feel the removal?
A: No, local anaesthetic numbs the area completely.
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Vasectomy Patient Leaflet
Information regarding the procedure can be found here
