A contraceptive implant is a long-term contraception that is inserted under the skin in the upper arm. It is a tiny, thin, and soft piece of plastic that helps you avoid unwanted pregnancy for at least 3 years. It can be administered only by a doctor or a nurse. 

There are quite a few brands that manufacture these implants, namely, Norplant, Jadelle (Norplant II), Implanon, Nexplanon, Sino-implant (II), Zarin, Femplant, and Trust. But you want to know when to take a pregnancy test after implant removal, right? Let’s get right into it.

How Does This Implant Work?

How Does This Implant Work

This implant works by releasing progestational hormones into the body that helps thicken the cervical mucus. The cervical mucus is best suited for sperm when it’s thin and stretchy. Thickening causes the environment to get toxic for the sperm, which in turn prevents fertilization of an egg and pregnancy. 

The progestational hormones released by this implant thin the lining of your uterus, which ensures that even if an egg were to be fertilized, it wouldn’t implant itself into the uterine lining. These implants can be fitted at any point of your menstrual cycle, as long as you are not pregnant. 

It is advisable that you do not indulge in unprotected sexual intercourse for at least 3 weeks before having this implant fitted to avoid a pregnancy. The process of fitting this implant takes just a few minutes. All you have to provide is your medical history, offer a pregnancy test as well as an STI test if needed.

Once you are on the clear, the clinician will anesthetize your upper arm locally and then slide the implant under your skin. You may feel a little pressure but almost no pain. 

Upon inserting the small flexible plastic rod, the clinician will apply a dressing to protect the area. Some clinicians add a pressure bandage to reduce bruising. 

If you fit this implant in the first 5 days of your menstrual cycle, you will be protected from unwanted pregnancies straightaway. But if you fit it at any other time of your cycle, you will have to take contraception for an additional 7 days. 

If you have given birth and you insert this implant before the 21st day of giving birth, you will be protected. But if you take after the 21st day, an additional contraception of 7 days is necessary. 

Keep in mind that this implant will not protect you from sexually transmitted diseases, so using a condom is still required. 

Who Can Get This Implant

Who Can Get This Implant

Most women can get this implant fitted, but it may not be suitable for a few. They are:

  • You are pregnant
  • You have liver disease
  • You have or had breast cancer
  • You take medication that has interactions with progestational
  • You have unexplained bleeding after sexual intercourse or between periods

If you want to remove this implant for any reason, it can be removed by a doctor or nurse in the same process of injecting a local anesthetic and making a tiny incision to extract the implant out of your arm. Your question about when to take a pregnancy test after implant removal becomes easier to answer. 

If you want to avoid getting pregnant after the contraceptive is removed, you must resort to some other birth control. 

Implant And Its Effects

Implant And Its Effects

Most women get back to their normal menstrual cycle and regain their fertility within a month of removing the implant. For the first few months, your period can be lighter, heavier, or longer after removing the implant. 

The clinical trials of these implants have shown women have been able to get pregnant as early as 7-14 days after removing the implant. Ovulation, therefore, can take place pretty much immediately after removing the implant. 

How Do They Get The Birth Control Implanted?

You might be curious about the process of getting it implanted. Well, to get a brief idea about that, read the following steps below.

  • To begin with, you have to put your elbow like the letter “L.”
  • With the help of a local anesthetic, your upper and inner arm is numbed so that you don’t feel any pain.
  • Mostly, the implant is put in your nondominant arm, but it is up to you which arm you want to use for getting the implant done.
  • With the help of needle-like equipment, they put the implant under your skin.
  • There is no need for any stickers, but they often put a bandage to prevent any kind of bruising.
  • It is just a matter of minutes, and you will be done.

When To Take A Pregnancy Test After Implant Removal

When Can You Take A Pregnancy Test After Implant Removal

If you are asking how soon after implant removal will I ovulate, it all depends on your health, your hormones, your menstrual cycle, and your attempts to get pregnant. If the removal of the contraceptive implant is correctly carried out, you can get pregnant as early as 7-14 days after implant removal.

A mistake is made, however, during the removal process, it can take up to several months before you revert your fertility. Also, If you want to prevent pregnancy after removing the implant, you should start a different method of contraception as soon as you are ready. 

If you are (TTC) trying to conceive and have unprotected intercourse just after the clinician removes the implant, you can take a pregnancy test within 7-14 days after the removal. 

If your menstrual period is late, it could mean that you are pregnant. But again, your rapidly changing hormone levels could give you a false positive which could turn negative the next day. 

Can The Implant Fail

Can The Implant Fail

This contraceptive is more than 99% effective and can last upto 3 years. That does not negate the possibility of getting pregnant despite the implant. 1 out of 100 couples can experience an accidental pregnancy inspite of using an implant. 

Side Effects Of Implant

Side Effects Of Implant
  • Acne
  • Pain
  • Stomach pain
  • Weight gain
  • Breast tenderness
  • Mood swings
  • Depressed mood
  • Vaginitis
  • Nausea
  • Viral infections such as sore throats
  • Back pain 
  • Local pain
  • Dislocation of the implant (severe cases)
  • Headache 

It would be good to remember that certain medications for certain conditions could reduce the effects of the implant. The conditions include HIV, epilepsy, and tuberculosis, some herbal medicine, such as St. John’s wort. In case the skin around the implant gets infected, you must contact a GP or a sexual health clinic. He may prescribe antibiotics for the treatment of the same.

Factors That Might Impact The Test Results

Pregnancy tests are mostly accurate, but there are certain factors that might manipulate the results and must be considered.

The Test Timing

If you take the test just after removing the implant, the result might turn out to be a false negative. The reason behind this is that the hCG levels might not be sufficient for giving an accurate result. It is best to wait for a few weeks after removing the implant to get the accurate test results.

The Test Quality

It is best to use a reliable and reputable brand for getting the test done if you are using home test kits. Those brands will ensure to give you an accurate result. Choose a brand that has been approved by relevant regulatory authorities and which has positive customer reviews.

Use It Properly

It is important to follow the instructions given in the pregnancy test kit to get the exact accurate results. Read the provided instructions, understand the timings that have been recommended by the company, and execute the test properly.

Medical Conditions And Medications

There are a few medications, like fertility drugs or medicines that contain hCG, that can manipulate the test results. Along with that, certain medical conditions, like ectopic pregnancy or different types of cancer, can give a false negative or false positive result.

It is best to consult a healthcare provider if you are concerned that your medical conditions or medicines can impact the results of your pregnancy test.

When To Contact Your Health Provider

When To Contact Your Health Provider

Contact your doctor or clinician immediately if you see the following symptoms:

  • You cannot feel the implant
  • You get pregnant
  • You feel local pain and see discoloration of skin at the site of the insertion of the implant
  • The implant feels like it has changed its shape

To Conclude

Contraceptive implants are known to be highly effective, with very few side effects that affect the individual to a great extent. Now that you know when to take a pregnancy test after implant removal, it becomes easier.

The added benefit of being able to get pregnant as soon as you are off the implant makes it even more popular among women, especially in the United States. 

If you have thoughts to share regarding contraceptive implants or have experience with using these and have tips for other women, please do leave a comment below. We would love to hear from you. 

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