Samsun Contraceptive Implant (Nexplanon)

Samsun subcutaneous implantIt is a long-acting method of birth control, applied with a small, flexible rod placed on the inside of the arm. Its effect lasts about three years.

This method is based on the placement of a thin stick that secretes hormones in the upper arm under local anesthesia. It is a practical option for women who have no anxiety about forgetting to take daily pills. Placement and removal procedures are simple applications that are completed in a short time in the practice environment. Thanks to the mechanism of action, long-term protection can be achieved without adhering to a daily routine.

The choice of method of birth control varies according to one's health history, lifestyle and expectations; therefore, a thorough examination and briefing process are important prior to application. Prof. Dr. Aşkı Ellibeş KayaIn , she provides services in the field of women's diseases and childbirth in Samsun, informs her patients in the selection of methods.

What Is a Skin-Under-Skin Implant (Nexplanon)?

The subcutaneous implant, also called Nexplanon in medicine, is a small, flexible rod that releases hormones, about the size of a match litter, which is placed in the inside of the upper arm to release a regular amount of hormones into the bloodstream, thereby preventing ovulation and preventing pregnancy.

The main feature of the method is that it provides long-term protection without the user having to perform a daily operation. The risk of forgetting that is often experienced in pill use is not at issue here. This makes the implant a preferred option for women with regular follow-up difficulties.

The active ingredient of the implant makes sperm passage difficult by thickening mucus in the cervix as well as suppressing ovulation. This double-acting mechanism allows the method to be evaluated among high-event contraceptive options. Hormone release is observed at a constant level over time.

Because the implant is a non-estrogenic method, it does not have some estrogen-related side effects. This feature allows estrogen use to be considered an alternative hormonal option when not recommended. Nevertheless, the most appropriate method for each woman is determined after the examination.

The subcutaneous implant, which is considered to be one of the long-acting reversible contraceptive methods, is a widely used practice worldwide. In Turkey, it is also an option offered to patients who are deemed appropriate by obstetricians and obstetricians.

The method requires special training and experience to be implemented; Therefore, the practice must be carried out by a knowledgeable physician. The right technique directly affects both the app comfort and the security in the next process.

How to Place a Skin Under Implant?

The placement process is a short procedure performed by the physician by applying local anesthesia. With the help of a special practitioner, the implant is placed under the skin on the inner surface of the upper arm. The procedure usually takes a few minutes and can be returned to daily life on the same day.

The application is usually done on the inner surface of the non-dominant arm, and during the process the person may be seated or lying in position. This short process, performed in sterile conditions, does not require a separate preparatory period or hospitalization.

The practitioner used during the procedure is designed to place the implant under the skin at depth and at the right angle. Following placement, the position of the implant can be checked by examination if necessary.

Pre-Application Assessment

Before the implant is placed, the physician questions the general state of health, the medications used and if any, chronic diseases. Additional examinations may be requested if deemed necessary. This assessment is important in determining whether the method is suitable for the person.

Application Process

Prior to application, the physician evaluates the person's health history and decides the appropriateness of the method. After the area is numbed with local anesthesia, the implant is placed under the skin and a small bandage is applied on it. After the procedure, slight sensitivity can be felt for several days.

Extraction Process

Removal of the implant is a similarly short process. Once the physician has determined the position of the implant, he or she removes the stick from the skin with local anesthesia. A new implant can be placed in the same session if desired.

How long is the duration of impact?

The subcutaneous implant provides effective protection for about three years; since the exact time may vary from person to person, your physician will indicate the specific time. It is also possible to remove it before the deadline and replace it with a new one. This flexibility makes the method suitable for women who plan long-term.

Factors that determine the duration of the effect include the type of implant and the overall health status of the person. If the implant is not removed when the period is over, the protective effect may decrease over time. Therefore, it is important to go to a control examination at the end of the recommended period and if necessary, renew it.

Intermediary inspections during the duration are useful for assessing the position of the implant and its overall health. Even if there are no complaints, it is recommended to go to the examination at intervals recommended by the physician. This follow-up contributes to maintaining the method safely.

Advantages of Under-skin Implant

The subcutaneous implant offers a variety of advantages for women seeking long-term protection without disrupting their daily life pattern. It can be a practical solution, especially for those who are concerned about forgetting the use of regular medication. These advantages are summarized below:

• It does not require daily use or recall

• Provides protection for about three years after placement

• Fertility returns quickly after removal

• It is a suitable alternative for some women because it does not contain estrogen.

• Placement and extraction are completed in a short time

• It is an option that can be evaluated with physician approval during breastfeeding

In addition to these advantages, the individual suitability of the method can only be determined by a thorough examination. Since each woman's health history is different, evaluation of the advantages should be done on an individual basis.

The practicality offered by the method can be considered among the reasons why it is preferred by women who have a particularly intense working pace or have difficulty maintaining regular pill use. However, as with any method, personal preference and health status should be evaluated together.

Possible Side Effects and Menstrual Order Changes

The most common side effect is a change in menstrual pattern. Some users experience spotting or irregular bleeding, while some women may have complete menstrual cessation. These changes usually decrease over time and follow a more regular course as the body adjusts to the method.

A few days of tenderness, slight swelling or bruising can be seen in the placement area; This will soon go away on its own. Rarely, the infection may develop or the implant may be displaced; In such a case, it is recommended to apply to the physician. Since side effects may vary from person to person, regular inspections are important.

The severity and duration of side effects may vary from person to person. Some women may notice headaches, tenderness, or mild mood changes during the first months of application. These symptoms are usually temporary; When it is permanent or uncomfortable, the physician should be consulted.

How long changes in menstrual pattern will last cannot be predicted in advance. In some women, the irregularities seen in the first months decrease markedly over time, while in others, this change may take longer. In the event of permanent discomfort, it is recommended to see a physician.

Who Is It Not Suitable For?

Underskin implants may not be a suitable method for every woman. In women with an active history of breast cancer, unexplained vaginal bleeding or a history of serious liver disease, this method is usually not preferred. Evaluation of these conditions is possible with a thorough examination.

A history of your health to determine the appropriate method Samsun Gynaecologist It is important to evaluate it. Information such as medications, chronic diseases and family history used during the examination should be shared.

Apart from these, interaction with certain medications used or ongoing health problems can also be considered in the assessment. Therefore, it is recommended that all available drugs and supplements are shared with the physician during the examination.

Appropriation assessment is not a one-time process; In the event of a change in health status over time, the suitability of the method may be reconsidered. Therefore, it is recommended that regular inspections are not neglected.

In women who are breastfeeding, smoke or have a history of migraines, the fitness of the method is evaluated separately. In such special cases, the physician determines the most appropriate method of protection for the person.

Comparison of Other Methods with Subcutaneous Implants

When choosing a method of birth control, the implant can help the decision process to know the differences between intrauterine vehicle (IUD) and birth control pill. The following table compares these three methods to their general outline:

FeatureSix ImplantsSpiralBirth Control Pill Effect TimeAbout 3 yearsDay use Application ShapeScala placementNo need to remember intake by mouthEvery day Return to FertilityFast after removalAfter removal

As can be seen from the table, all three methods differ in terms of providing protection without requiring recall. The contraceptive pill requires daily use, while the implant and the IUD offer a longer-term solution. The choice of method should be determined with the physician based on the person's health status and preferences.

Each method has its own advantages and aspects to be considered. For example, when the IUD is inserted into the uterus, the implant is applied to the arm; This difference can affect personal preference in terms of app comfort. Which method is more appropriate should be evaluated together after the examination.

When choosing between methods, not only the duration of impact, but also one's health history, lifestyle and future plans should be considered. This multifaceted assessment becomes clear as a result of a detailed meeting with the physician.

What to Consider After Implementation

For the first few days after implantation, it is important to keep the application area clean and dry. It is recommended to avoid movements such as heavy lifting or direct pressure on the area for a short time. Mild tenderness and bruising are considered normal and usually subside within a few days.

They Will Be Considered in the First Days

• Keep the application area clean and dry

• Avoid putting heavy pressure on the area

• Delay heavy exercise for a few days

• Maintain the bandage for as long as recommended by the physician

• If you notice abnormal rash or discharge, contact your physician.

If symptoms such as increased redness, heat increase or severe pain are noticed in the area, the physician should be contacted. Regular check-up appointments are useful for monitoring that the implant is in the right position and shows the expected effect.

Most women can quickly return to their daily activities after the practice. Instead of a precise waiting period for return to sports and work, the physician's recommendations for regional improvement should be followed.

The initial control examination is usually performed on a date determined by the physician, and the position of the implant, the state of improvement of the application area, is assessed. This initial control is important for early detection of possible problems.

It is possible to obtain information by reaching the clinic for any questions and concerns that may occur after the application. Instead of waiting in the face of an uncertain situation, contacting the physician allows the process to be more easily managed.

Common Misinformation About Subcutaneous Implants

There is some misinformation circulating in the community about the subcutaneous implant, one of which is the notion that the implant will leave a permanent mark on the body or restrict the arm's mobility, whereas when placed correctly, the implant does not affect the daily movements of the arm.

Another misconception is that the implant is a permanent method, whereas the implant is a reversible application that can be removed at will. The healthiest way to get accurate and up-to-date information is to discuss the issue directly with your physician.

It is another common misconception that the practice will lead to infertility. However, once the implant is removed, it does not have a permanent effect on fertility; The body soon returns to its previous hormonal pattern. Such questions can be easily discussed with the physician during the examination.

Personal experiences shared online or on social media may not yield the same result for everyone; The side effect profile and the compliance process vary from person to person. The most accurate source of reliable information is your physician who examines you.

Conclusion

Samsun subcutaneous implantIt is one of the options that can be considered for women who are looking for a long-term and practical method of contraception. Its lack of daily follow-up and its nearly three-year effect are among the features that highlight the method. A comfortable process of use is possible with proper application and regular controls. The suitability of the method to you becomes clear only after a thorough examination.

As with every method of birth control, the implant decision should be made in consideration of personal health. For detailed information and examination, your consultation with your physician will help you determine the method that best suits you and answer any questions you may be curious about. You can easily share your questions during the examination.