Please note that the introduction of the contraceptive Implanon can only be done in the clinic at Krasnopresnenskaya metro station at the address: Moscow, Volkov lane, 21, phone +7 (495) 151-29-71 (ext. 2)
Injection contraception is one of the safest methods of preventing unplanned pregnancy, which consists of administering a drug. In this case, there is no disruption of the cycle or disruption of the hormonal levels of the female body. One of the most modern injectable contraceptives is the subcutaneous contraceptive Implanon.
Action of Implanon
To find out whether using Implanon for pregnancy protection is right for you, you can consult an obstetrician-gynecologist at the Zdorovye medical center network. Implanon is injected under the skin in the upper third of the shoulder exclusively by a medical specialist who knows this technique. The implant is a thin elastic silicone rod, the size of which is 4 cm in length and 2 mm in diameter, so after installation it is almost invisible. In this way, a woman can maintain the confidentiality of her contraceptive use.
Implanon's action is aimed at preventing the growth and release of eggs from the ovaries, thickening the cervical mucus and impeding the passage of sperm. Hormones constantly and continuously enter a woman’s body, so the effectiveness of the drug in preventing pregnancy is 99%.
The Implanon implant has virtually no effect on lactation, which is why many women decide to use it after childbirth. The drug can be administered 4–5 weeks after the birth of the baby.
Important information about contraceptive implants:
- the effectiveness of contraceptive implants reaches 99%;
- implants have a long validity period - from three to five years;
- after removing the contraceptive implant, the reproductive functions of the woman’s body are restored almost immediately;
- After installation of the implant, changes in the menstrual cycle may occur. Menstruation may become irregular, less or more heavy. Some women experience amenorrhea for several months;
- some medications can reduce the effectiveness of the implant, so if you are taking any medications, be sure to tell your doctor about it;
- A contraceptive implant cannot protect against sexually transmitted diseases.
Implanon: implant installation
To install Implanon, you must consult a doctor, since this process is a minor surgical operation. Implanon is installed on the inner surface of the shoulder of the arm that is less involved in a woman’s daily life (for a right-handed person, the implant is installed in the left arm, for a left-handed person, vice versa).
Before installing Implanon, the surgical field is treated with antiseptics, the doctor makes a mark at the place where Implanon will be administered. After this, local anesthesia is performed, the doctor makes a miniature incision and inserts the implant. The incision is fixed with one suture, which is removed after 7–10 days.
Who can get a contraceptive implant?
This product is recommended for use by women of any age, from the beginning of sexual activity to the onset of menopause. The hormone contained in Implanon passes into breast milk in a minimal amount, so its use is safe during lactation. The contraceptive does not affect the quality and quantity of breast milk.
Under medical supervision, the use of hormonal contraceptives is possible for diabetes mellitus and systemic lupus erythematosus. It can also be part of therapy for some dishormonal gynecological diseases, for example, endometriosis and dysmenorrhea.
Advantages of the method
Injection contraception allows you to minimize the risk of unwanted pregnancy; this method does not have the side effects that oral contraceptives have (liver damage). In addition, the implant does not require complex care and all you need to do is visit a gynecologist every 6 months.
The method provides a reliable contraceptive effect for 3 years and can be stopped at any time at the woman’s request - the implant is removed in 10 minutes by a doctor and pregnancy can occur within a month.
Indications and preparation for implantation
The main indication for inserting an implant is the woman’s reluctance to become pregnant at the moment. Also, its use may be indicated in the late reproductive period, if there are contraindications for taking COCs containing estrogen, in combination with the treatment of certain hormone-dependent diseases.
Before inserting the implant, the doctor prescribes an examination, which includes:
- tests to exclude pregnancy;
- tests to exclude individual intolerance to the components of the drug;
- ultrasound examination of the pelvis;
- examination of a smear of vaginal discharge;
- exclusion of other possible contraindications.
Only a doctor in a clinic should insert an implant in compliance with antiseptic rules. The procedure is prescribed on a specific day of the menstrual cycle. After childbirth or medical abortion, contraception can be installed after six to eight weeks. The implant is inserted into the subcutaneous fat through a small incision or puncture. The injection site is the inner side of the shoulder. The contraceptive effect of the drug begins almost immediately after administration.
What is important to know when using Implanon:
- The main side effect is a change in the nature of bleeding. In most cases, menstrual flow may be light or temporarily absent. In very rare cases, heavy bleeding occurs
- Taking certain medications or herbal preparations may reduce the effectiveness of Implanon, in which case additional contraception may be required.
- If a woman changes her mind and wants to have a child, the effect of Implanon is reversible within a month after removal
To remove the implant, it is enough to make an incision on the skin of no more than 2 mm, however, the removal procedure can only be entrusted to a gynecologist in a specialized medical clinic.
Contraceptive implant "Implanon"
The Implanon subcutaneous implant is one of the innovations of modern contraception. At the SANMEDEXPERT clinic, it can be installed quickly and almost painlessly. The procedure is performed by a certified gynecologist. The drug "Implanon" contains a progestogen. Its contraceptive effect lasts 3 years. The implant itself is a very small flexible rod, which is installed subcutaneously through a puncture made using a special applicator. The procedure is performed under local anesthesia.
The Implanon implant is considered one of the safest contraceptives due to the microdose of hormones it contains, the absence of estrogens and side effects such as weight gain and excessive hair growth on the face and body. Another advantage of this method of contraception is that the drug enters directly into the bloodstream, bypassing the digestive tract. The use of Implanon is not contraindicated after childbirth during lactation, in the presence of diseases of the cardiovascular system, varicose veins, or smoking.
Implanon can be removed at any time at the patient's request. After removing the contraceptive, the restoration of hormonal levels occurs within a few days, and the restoration of the ovulation process over the next three months. The new implant can be installed immediately.
Is it possible for an implant to migrate throughout the body?
If installed correctly, the contraceptive cannot easily move around the body from its place. There have been isolated cases where the implant migrated up to 2 cm from the original site if it was not placed deep enough.
Although this type of contraceptive is suitable for use by most women, there are still some contraindications, according to the criteria of the World Health Organization. Among them:
- the presence of arterial or venous thrombosis;
- hormone-dependent neoplasms of a malignant nature (for example, in the mammary glands or organs of the reproductive system);
- severe liver disease;
- vaginal bleeding of unknown origin;
- hypersensitivity to Implanon® components.
How is breast reconstruction performed?
Delayed reconstruction is performed using different methods: using the patient's fat tissue graft, tissue flaps taken from the back, abdomen or buttocks. But the optimal result is demonstrated by breast reconstruction using implants.
In this case, the traumatism of the operation is minimized and the reconstruction itself is greatly simplified. Plus, there are no stitches or scars on other parts of the body, since donor material is not required - it is replaced by a breast implant; after a mastectomy, this is the simplest, most effective and safest way to restore attractiveness and a healthy appearance to the breasts.
The surgical technique is selected individually, taking into account the characteristics of the patient, medical history, type of mastectomy and other factors.
If there is not enough skin volume to install the endoprosthesis, or it has been completely removed along with the glands, a two-stage reconstruction is performed:
- At the first stage, consultation and selection of an implant is carried out;
- Based on the results of the examination and analysis, the surgical technique and type of anesthesia are prescribed;
- markings are made on the skin;
- an incision is made in the selected area;
- to restore skin area, an expander (temporary implant) is installed under the pectoralis major muscle and filled with saline;
- over the next few weeks, an additional volume of saline is pumped into the implant so that it gradually increases in size;
- as a result, the expander puts pressure on the pectoral muscle and stimulates skin stretching, thereby forming a pocket for the endoprosthesis;
- after a few months, if there are no complications, they move on to the second stage - the expander is encapsulated and a permanent silicone implant is installed in its place;
- This is followed by a period of rehabilitation, removal of stitches and recovery.
The situation with cancer patients is complicated by the fact that tissues heal poorly after radiation therapy and are susceptible to infections and inflammation. The body itself is weakened by disease and therapy.
During a mastectomy, not only soft tissue and lymph nodes are removed, but also blood vessels that provide vitality to tissue and skin. This significantly complicates the implantation process, and the installed prosthesis finds itself in difficult conditions.
In the future, this can provoke complications, pathologies, including rejection of the endoprosthesis, and also prolong the rehabilitation period.
Delayed reconstructive surgery has no time limits and can be performed after several months or after several years.
One-stage breast reconstruction
Single-stage breast reconstruction is performed simultaneously with a mastectomy and can reduce the level of injury, pain, discomfort and scarring, since instead of two operations only one is performed.
Simultaneous reconstruction is possible in cases where the mammary glands are subject to amputation, but the skin membrane remains intact. In this case, the damaged tissue is removed and an implant is placed under the pectoral muscle.
Everything you need to know about implants
Facial implants allow you to restore youth to your face and make your facial features more pronounced and defined. They are used in cases where it is necessary not only to tighten muscle structures and make the skin fresher and more elastic, but also to change the volume and shape of individual parts of the face.
Facial implants are placed directly under the skin, effectively eliminating various aesthetic effects. For example, they allow you to get rid of pronounced asymmetry. Modern implants are made from innovative materials. Due to this, they have the following characteristics:
- naturalness of the result obtained;
- absence of foreign body sensation and discomfort;
- reliable protection against deformation;
- no need to replace them over time;
- reliable fixation in tissues.
One of the most popular surgical interventions aimed at creating a clear facial contour is the installation of facial implants in the cheekbone area. This operation allows you to change the shape of the cheekbones or increase their size. In addition, implants are used if you need to create a more graceful contour of the chin, lengthen it or make it more rounded. This operation is resorted to if the patient has a disproportionate or sunken chin, which affects the harmony of other parts of the face. Implants also allow you to emphasize the angles of the lower jaw or increase its size.
Thus, the general indications for installing implants are:
- the need to correct acquired or congenital asymmetry of the face shape;
- the desire to restore the proportions of the face and its contour, which have changed with age due to deformation of the skin structure;
- too small size or irregular sloping shape of the chin;
- the need to get more defined cheekbones.
Long-acting contraceptives
- Injectable
- pure progestins – Depo Provera
- combined – Lunelle
- Subcutaneous implants – Norplant, Implanon
- Transdermal patches – Evra
- Vaginal rings
- Intrauterine devices (copper-, gold- and hormone-containing)
Advantages
- Highly efficient
- Long-term contraception
- The effectiveness of the method does not depend on the user
- Confidentiality
- Positive non-contraceptive effects
Flaws
- The need for medical personnel to administer and remove the drug
- Inability to quickly discontinue the drug
- Delayed return of fertility
