Contraception..?
Hello Dr.
Lin: I have heard about a contraceptive method where a device is implanted in a woman's arm that regularly releases a contraceptive hormone.
Once implanted, it can provide protection against pregnancy for about five years.
I would like to ask if this method of contraception is common nowadays? Who is it primarily suitable for? Is it covered by health insurance? How effective is it in preventing pregnancy?
Winnie, 20~29 year old female. Ask Date: 2004/02/09
Dr. Lin Manying reply Obstetrics and Gynecology
Hello: 1.
This type of contraceptive is a "Nexplanon" implant, which contains the same active ingredients as conventional contraceptive pills.
This method of contraception is currently not widespread, as clinical trials over five years have indicated potential risks such as irregular spotting or ectopic pregnancy.
Since it contains the same ingredients as contraceptive pills, individuals who are sensitive to oral contraceptives should consider this option carefully.
2.
It is not covered by health insurance.
The contraceptive efficacy is similar to that of contraceptive pills (97% to 99%).
Wishing you health and happiness.
Sincerely, Lin Man-Ying, Department of Obstetrics and Gynecology, Miaoli Hospital.
Reply Date: 2004/02/09
More Info
Arm implant contraception, commonly referred to as the contraceptive implant, is a highly effective long-term birth control method that has gained popularity in recent years. The implant is a small, flexible rod that is inserted under the skin of a woman's upper arm by a healthcare provider. It releases a hormone called etonogestrel, which is a synthetic form of progestin, to prevent ovulation and thicken cervical mucus, thereby reducing the likelihood of pregnancy.
Effectiveness
The contraceptive implant is one of the most effective forms of birth control available, with a failure rate of less than 1% when used correctly. This means that fewer than 1 in 100 women will become pregnant each year while using the implant. Its effectiveness is comparable to that of sterilization and significantly higher than that of other reversible contraceptive methods, such as oral contraceptive pills or condoms.
Coverage and Suitability
The implant is suitable for a wide range of women, including those who may not be able to use estrogen-containing contraceptives due to health concerns such as hypertension, migraines, or a history of blood clots. It is also a good option for women who prefer a long-acting method that does not require daily attention. The implant can be used by women of reproductive age, including adolescents, and is particularly beneficial for those who may have difficulty remembering to take a daily pill.
Duration and Reversibility
Once inserted, the implant provides effective contraception for up to three years, although some newer models may offer protection for up to five years. After this period, the implant can be easily removed by a healthcare provider, and fertility typically returns to normal almost immediately.
Insurance Coverage
In many regions, including the United States, health insurance plans are required to cover contraceptive methods, including the implant, without cost-sharing under the Affordable Care Act. However, coverage may vary by plan, so it is advisable for individuals to check with their insurance provider regarding specific benefits.
Side Effects
While the implant is generally well-tolerated, some women may experience side effects, including irregular bleeding, headaches, breast tenderness, and mood changes. These side effects often improve over time, and many women find that their menstrual cycles become lighter or even stop altogether after a few months of use.
Conclusion
In summary, the contraceptive implant is a highly effective, long-term birth control method that is suitable for many women. Its ease of use, combined with its high effectiveness and reversibility, makes it an attractive option for those seeking reliable contraception. If you are considering this method, it is essential to consult with a healthcare provider to discuss your individual health needs, potential side effects, and whether this method is the best fit for you.
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