Removal, implantable contraceptive capsules
CPT4 code
Name of the Procedure:
Removal, Implantable Contraceptive Capsules
Common name(s): Implant Removal, Birth Control Implant Removal
Technical/M edical term: Removal of Subdermal Contraceptive Implant
Summary
The removal of implantable contraceptive capsules is a minor surgical procedure in which a small rod-shaped device that was previously placed under the skin to release birth control hormones is taken out. This typically involves a small incision and is done in a medical office or clinic.
Purpose
The medical condition or problem it addresses: Contraceptive maintenance, discontinuation of contraception. The goals or expected outcomes of the procedure: To safely and effectively remove the contraceptive implant when it is no longer desired, has expired, or if there are side effects.
Indications
- Desire to become pregnant
- Expired implant (typically after 3-5 years)
- Experiencing side effects such as irregular bleeding or hormonal imbalances
- Infections or complications at the implant site
Preparation
- No fasting required
- Informing the healthcare provider of any current medications or medical conditions
- Possibly a blood test or ultrasound to locate the implant accurately
- Discussion of alternative contraception methods if contraception is still needed
Procedure Description
- The patient will lie down, and the implant location will be cleaned and sterilized.
- Local anesthesia will be administered to numb the area around the implant.
- A small incision will be made over the tip of the implant.
- The healthcare provider will gently push the implant out through the incision with a special tool or their fingers.
- The area will be closed with either adhesive strips or small stitches.
- A sterile bandage will be applied to cover the wound.
Duration
The procedure typically takes about 15-30 minutes.
Setting
The procedure is usually performed in an outpatient clinic or healthcare provider's office.
Personnel
- Healthcare provider (e.g., doctor or nurse practitioner)
- Medical assistant or nurse
Risks and Complications
Common risks:
- Pain at the incision site
- Bruising or swelling
- Infection
- Scarring
Rare risks:
- Difficulty locating or removing the implant
- Nerve or blood vessel damage
- Prolonged pain or discomfort
Benefits
- Removal of device when contraceptive hormone release is no longer desired or needed.
- Resolution of any side effects caused by the implant.
- Ability to conceive if desired.
Recovery
- Keep the area dry and clean for 24-48 hours.
- Over-the-counter pain medication can be used to manage discomfort.
- Monitoring the site for signs of infection, such as redness or pus.
- Most individuals can return to normal activities immediately, though strenuous activities should be avoided for a few days.
- Follow-up appointment may be scheduled to ensure proper healing.
Alternatives
- Continued use of the current implant if no contraindications exist.
- Consideration of alternative contraceptive methods (e.g., IUD, oral contraceptives, injectable contraceptives).
- Pros of alternatives include different hormonal profiles and varying durations of effectiveness, but may come with their own side effects or risks.
Patient Experience
During the procedure:
- Minimal discomfort due to local anesthesia.
- Some pressure or pulling sensation during implant removal.
After the procedure:
- Mild soreness or bruising at the site.
- Pain relief usually manageable with over-the-counter pain medication.
- Instructions provided for care of the incision site to ensure comfort and prevent infection.
This markdown provides a comprehensive guide to the removal of implantable contraceptive capsules, offering insight into what to expect before, during, and after the procedure.