Contraceptive Implant Removal:
Pre-Appointment Patient Information

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What is the contraceptive implant?

The contraceptive implant is a small flexible plastic rod (about 4 cm long) that sits under the skin of your upper arm. It releases a hormone called progestogen to prevent pregnancy and lasts for up to 3 years.

Why might an implant need to be removed?

You may choose to have your implant removed if:

  • You would like to become pregnant

  • Your implant has reached the end of its licensed duration

  • You are experiencing side effects

  • You would like to change contraception

  • You no longer need contraception

  • The implant has moved position or cannot be felt

Removal is always available on request.

What happens during implant removal?

The procedure usually takes 10–20 minutes.

Step-by-step:

  • You will lie comfortably with your arm supported.

  • Harriet, our specialist nurse will feel the implant to confirm its position.

  • The skin is cleaned using antiseptic.

  • Local anaesthetic is injected to numb the area.

  • A small incision (cut) is made in the skin.

  • The implant is gently removed.

  • The wound is closed with steri-strips and covered with a dressing.

Stitches are not usually needed.

Does removal hurt?

  • The local anaesthetic injection may sting briefly.

  • You should not feel pain during removal but may feel pressure or pulling.

  • Mild discomfort or bruising afterwards is common.

What are the risks of removal?

Serious complications are uncommon but can include:

Common

  • Bruising

  • Mild swelling or tenderness

  • Small scar

  • Minor bleeding

Less common

  • Infection at the removal site

  • Difficulty locating or removing the implant

  • Implant breakage during removal

  • Nerve or blood vessel irritation (rare)

If the implant cannot be felt or is deeply placed, removal may require ultrasound guidance or referral to a specialist centre.

PLEASE LET US KNOW BEFORE YOUR APPOINTMENT IF YOU CANNOT FEEL YOUR IMPLANT IN YOUR ARM.

What happens after removal?

  • You may remove the pressure bandage after 24 hours.

  • Keep the smaller dressing in place for 2–3 days.

  • Keep the area clean and dry for 48 hours.

  • Avoid heavy lifting or strenuous arm activity for a few days.

When will fertility return?

Fertility returns quickly after removal. You can become pregnant immediately.

If you do not wish to become pregnant, you should start another contraceptive method straight away.

When should I seek medical advice?

Contact us if you develop:

  • Increasing redness, swelling, or pain

  • Pus or discharge from the wound

  • Fever

  • Loss of sensation or severe arm pain

  • Heavy bleeding

Contraceptive Implant Removal and Replacement
(Same Visit)

Patient Information

Some people choose to have their implant removed and replaced during the same appointment. This maintains continuous contraceptive protection.

What happens during removal and replacement?

Harriet, our specialist nurse, will:

  • Remove your existing implant.

  • Insert a new implant, usually through the same incision or through a nearby site.

  • Apply dressings as described above.

The full procedure usually takes 15–30 minutes.

Will I remain protected from pregnancy?

In most cases, yes, provided:

  • The old implant has not expired, and

  • The new implant is inserted immediately.

If there has been a delay beyond the licensed duration, pregnancy risk will be assessed and additional contraception may be advised.

Are there additional risks with replacement?

Risks are similar to removal or insertion alone and include:

  • Bruising

  • Infection

  • Scarring

  • Implant insertion failure

  • Rare nerve or blood vessel injury

What side effects might I experience?

The replacement implant contains the same hormone and may cause:

  • Irregular bleeding patterns (common)

  • Lighter or absent periods

  • Headaches

  • Acne or skin changes

  • Breast tenderness

  • Mood changes

Bleeding patterns are unpredictable and are the most common reason people stop using the implant.

Aftercare following replacement

Aftercare is the same as removal:

  • Pressure dressing for 24 hours

  • Keep area dry for 48hours hours

  • Avoid strenuous arm use for a few days

  • Check you can feel the implant once swelling settles

Your clinician may ask you to check the implant periodically.

When should I seek urgent advice after replacement?

Seek medical advice if you experience:

  • Severe arm pain or numbness

  • The implant cannot be felt

  • Signs of infection

  • You think you may be pregnant

  • Persistent or concerning bleeding

Alternatives to the Implant

If you decide not to continue with the implant, other contraceptive options include:

  • Intrauterine device (copper coil)

  • Hormonal intrauterine system (eg Mirena)

  • Contraceptive injection (Depo)

  • Combined or progestogen-only pill

  • Barrier methods (condoms, caps and diaphragms) 

  • Fertility awareness methods-we do not advise this

  • Permanent contraception (sterilisation)

Your clinician can discuss which options may suit your health, preferences, and reproductive plans.

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