Contraceptive Implant (Subdermal)

The contraceptive implant is a flexible rod about the size of a matchstick that is placed just under the skin of your inner upper arm. It slowly releases the hormone etonogestrel, a progestogen, which stops ovulation and thickens the mucus at the cervix.

It is one of the most reliable reversible methods available, with fewer than 1 pregnancy per 100 users each year, and it works for up to 3 years. Its main drawback is unpredictable bleeding, and it gives no protection against sexually transmitted infections.

What Contraceptive Implant (Subdermal) involves

You lie with your non-dominant arm bent and the hand near your head. The doctor marks a point on the inner upper arm, about 8 to 10 cm above the elbow and away from the groove between the muscles where nerves and vessels run. A small amount of local anaesthetic is injected. The implant comes preloaded in a sterile applicator, which is slid just under the skin and withdrawn, leaving the rod behind. You and the doctor both feel the rod to confirm it is in place. A small dressing and a pressure bandage go on. Removal is done through a 2 to 3 mm cut at the tip of the rod under local anaesthetic.

Who is a good candidate for Contraceptive Implant (Subdermal)?

It suits most people who want reliable contraception they do not have to remember, including many who cannot take oestrogen.

• You want contraception lasting up to 3 years that is quickly reversible
• You cannot or prefer not to use oestrogen, for example because of migraine with aura or a clot history
• You are breastfeeding and want a method that does not affect milk supply
• You find daily pills hard to take reliably

Es ist normalerweise nicht die richtige Wahl, wenn:

• You have current or recent breast cancer
• You have unexplained vaginal bleeding that has not been investigated
• You have severe liver disease or a liver tumour
• You take enzyme-inducing medicines such as some epilepsy, tuberculosis or HIV drugs, which make the implant less reliable
• Irregular bleeding would be unacceptable to you

Technikoptionen

• Insertion: Done in a clinic room in a few minutes. If fitted in the first 5 days of your cycle it works immediately; otherwise use condoms for 7 days.
• Removal and replacement: A new rod can be placed through the same small cut when the old one is removed, so cover is continuous.
• Deep or non-palpable implant removal: If the rod cannot be felt, it is located with ultrasound first and removed by a doctor experienced in this.

Was passiert während Ihrer Behandlung

Insertion takes about 5 minutes and removal usually 5 to 15 minutes. Only local anaesthetic is used. You feel the sting of the injection, then pressure but not sharp pain. You can leave straight afterwards. A pregnancy test may be done first if there is any doubt.

Vorbereitung auf Ihre Reise

A single short appointment is enough, so it fits easily around another reason for visiting. There is no need for a return visit unless you have concerns. Make sure you are given the product card with the insertion date and the date removal is due, since removal 3 years later will usually be done at home.

• Informieren Sie den Arzt über Medikamente, Allergien, Schwangerschaft oder Stillen und eine Vorgeschichte von Fieberbläschen, Keloidnarben oder Autoimmunerkrankungen
• Vermeiden Sie Alkohol, Aspirin und entzündungshemmende Schmerzmittel für ein paar Tage im Voraus, wenn Ihr eigener Arzt zustimmt, um Blutergüsse zu reduzieren
• Kommen Sie ohne Make-up auf dem Behandlungsbereich an und vermeiden Sie zwei Wochen vorher Sonnenliegen und starke Sonne

Genesung und Ergebnisse

Keep the pressure bandage on for 24 hours and the small dressing for 3 to 5 days. Bruising and tenderness around the site are common for a week or so. You can work and exercise normally, avoiding heavy lifting with that arm for a day or two. Bleeding patterns settle into their own rhythm over the first 3 to 6 months. Fertility returns within weeks of removal.

• Back to everyday activity: None; sore arm for a few days
• When results show: Effective at once or after 7 days, depending on cycle timing
• How long they last: Up to 3 years

Sicherheit, Risiken und Revisionspolitik

Serious problems are uncommon. Most issues relate to bleeding changes or the insertion site.

• Irregular, prolonged or frequent bleeding, which is the most common reason for early removal
• No periods at all in about one in five users, which is harmless
• Bruising, soreness or minor infection at the insertion site
• Headache, acne, breast tenderness or mood changes in some users
• Deep insertion making the rod hard to feel and remove
• Very rarely, movement of the implant within the arm or into a blood vessel
• A small scar at the insertion point

Jeder schriftliche Vorschlag wird durch Clinic-Y gibt an, was die Klinik abdeckt, wenn eine Korrektur erforderlich ist. Fragen Sie danach, bevor Sie buchen, nicht danach.

Cost of Contraceptive Implant (Subdermal) in Türkiye

Clinic-Y does not publish a single price for Contraceptive Implant (Subdermal), because the honest figure depends on your case. What moves it:

• Whether the device itself is included with the fitting fee
• Whether a consultation and pregnancy test are needed beforehand
• Removal of an old implant at the same visit
• Ultrasound localisation if an existing implant cannot be felt

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