If you want reliable birth control but keep forgetting the daily pill, Implanon is worth knowing about. It is a small, flexible rod placed under the skin of your upper arm, and once it is in, it works for up to three years without you having to think about it. In Malay it is often called implan perancang, and in Sabah it is one of the most searched family planning methods on Google. Here is what it is, what to expect, and where to get one in Tuaran.

This article is general information only and is not medical advice. Always speak to a doctor about which contraception suits you.

What Is Implanon?

Implanon is a contraceptive implant about the size of a matchstick, roughly 4 cm long. A doctor places it just under the skin on the inner side of your upper arm, usually the arm you do not write with. The current version in Malaysia is Implanon NXT, and the same product is sold as Nexplanon in some countries.

The rod slowly releases a hormone called etonogestrel, a type of progestogen. It stops your ovaries from releasing an egg each month and thickens the mucus at the neck of the womb so sperm cannot get through. It contains no oestrogen, which is why many women who cannot take the combined pill can still use it.

How Well Does It Work?

Implanon is one of the most effective forms of birth control available. Fewer than 1 in 100 women using it will get pregnant in a year. Because nothing depends on remembering a pill or an injection date, real-life results are close to perfect-use results.

One rod lasts up to three years. After that it is removed and, if you want, a new one goes in at the same visit.

What Happens at the Clinic

The insertion is quick and done in the consultation room:

  1. The doctor asks about your health, your periods and any medicines you take, and checks you are not pregnant.
  2. A small area on the inner upper arm is numbed with local anaesthetic.
  3. The rod is placed under the skin with a pre-loaded applicator. This takes a minute or two.
  4. The spot is covered with a small dressing and a pressure bandage, which you keep on for a day.

Most women describe it as a pinch from the numbing injection and nothing much after that. You can go back to normal activities the same day. Expect a small bruise for a few days.

If the implant goes in during the first five days of your period, it protects you straight away. At any other time, use condoms for the first seven days.

Side Effects to Know About

The most common change is to your bleeding pattern. Some women get lighter or no periods at all, some get irregular spotting, and a few get longer or more frequent bleeding. It is hard to predict which group you will fall into. If irregular bleeding bothers you, talk to your doctor, as it can often be managed.

Other possible side effects include headaches, acne, breast tenderness and mood changes. These usually settle within the first few months.

Implanon does not protect against sexually transmitted infections. Use condoms if that is a concern.

Who Can Use It, and Who Should Check First

Implanon suits most women, including those who are breastfeeding, those who cannot take oestrogen, and women who want long-term protection without daily pills.

See a doctor first if you have had breast cancer, unexplained vaginal bleeding, serious liver disease or a blood clot. Some medicines, including certain epilepsy drugs, some tuberculosis treatments and the herbal remedy St John's wort, can make the implant less effective. Bring a list of everything you take.

Removal and Getting Pregnant Afterwards

You can have Implanon removed at any time, for any reason. The doctor numbs the area, makes a tiny cut and slides the rod out. It takes a few minutes.

Your fertility returns quickly once it is out, usually within a few weeks. If you are not planning a pregnancy, start another method straight away.

Implanon, IUCD or the Pill?

Implanon is one of several options, and the right one depends on your body and your plans:

  • Implanon: lasts up to 3 years, nothing to remember, irregular bleeding is common.
  • IUCD (the coil): placed in the womb, lasts 5 to 10 years depending on the type, and copper versions are hormone-free.
  • Pil perancang (the pill): taken daily, easy to stop, works only if you take it on time.
  • Suntikan perancang (the injection): one shot every 3 months.

A short consultation is the easiest way to compare them for your situation.

Where to Get Implanon in Tuaran

Heracare Clinic Tuaran is a family clinic with a focus on women's health at T-Avenue, Jalan Lama Tuaran, about 30 to 40 minutes' drive from Kota Kinabalu. The clinic offers Implanon insertion and removal, IUCDs, contraceptive pills and injections, and emergency contraception, along with Pap smears, pregnancy care and fertility checks. Consultations are in Bahasa Malaysia or English, and a female doctor is on the team.

Walk-ins are welcome during opening hours. Booking ahead on WhatsApp is best, so the clinic can prepare for your visit.

Contact

πŸ“ Lot G-04, Ground Floor, T-Avenue, Jalan Lama Tuaran, 89208 Tuaran, Sabah
πŸ“ž 011-5930 1033
πŸ’¬ WhatsApp: 011-5930 1033
βœ‰οΈ heracareclinic@gmail.com
πŸ•— Monday to Saturday, 8.30am to 7pm
🌐 Heracare Clinic Tuaran, women's health and family clinic
πŸ—ΊοΈ Google Maps

This article is general information only and is not medical advice. Always speak to a doctor about which contraception suits you.

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