Women wishing to have Implanon® inserted can be referred to the Choices Clinic if their General Practitioner has not attended the training course. Correct insertion technique and timing is essential as most failures since introduction to Australia have been due to the woman already being pregnant at the time of insertion or non-insertion (faulty insertion technique and position not checked post insertion).
Implanon® is effective immediately if inserted during day 1-5 of the patient's menstrual cycle. At any other time in the cycle it is important to be certain the patient could not be pregnant and alternative contraception should be used for seven days after insertion.
It can be inserted with immediate effectiveness in women:
NB: in IUD (intrauterine device) users, if insertion of Implanon
- on combined oral contraceptive (pref. pill free interval to minimize bleeding irregularities)
- on Depo Provera® before next injection due
- after termination of pregnancy.
® is not done day 1-5 of cycle, IUD should be left in situ for 7 days post insertion as a pre-ovulatory follicle may be present.