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

1. The patient will lie down, and the implant location will be cleaned and sterilized.
2. Local anesthesia will be administered to numb the area around the implant.
3. A small incision will be made over the tip of the implant.
4. The healthcare provider will gently push the implant out through the incision with a special tool or their fingers.
5. The area will be closed with either adhesive strips or small stitches.
6. 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.