Do some of your patients wrinkle their noses at the idea of an intrauterine device (IUD)? Don’t forget to suggest the progestin implant! Women who want to avoid having an object inserted into the uterus may feel more comfortable having a plastic rod under the skin of the arm.
Progestin implant insertion is very easy, and removal is simple, too. The most common side effect is spotting—which may last as long as the implant remains in place. Some women experience weight gain, headaches, acne, and/or skin changes in the upper arm. After insertion, the implant provides three years of super-high-efficacy contraception without any further action from its user.
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Cromer BA, Smith RD, Blair JM, Dwyer J, Brown RT. A prospective study of adolescents who choose among levonorgestrel implant (Norplant), medroxyprogesterone acetate (Depo-Provera), or the combined oral contraceptive pill as contraception. Pediatrics. Nov 1994;94(5):687-694.
Link to PubMed
The Reproductive Health Access Project does not accept funding from pharmaceutical companies. We do not promote specific brands of medication or contraception. The information in the Contraceptive Pearls is unbiased, based on science alone.