The website is launched on 29 June 2018

Long Acting Reversible (LARCs)


Associated effects

  • 1) Changes to bleeding pattern
    • Unscheduled bleeding in the first 3 months is common.
    • Fewer than 25% will have regular bleed. One third will have infrequent bleeding ( Most common), One fifth will have amenoorrhea, and One quarter will have prolonged or frequent bleeding.
  • 2) Changes in weight, mood & libido
    • No evidence for causal association.
  • 3) Acne, Headache & Skin Atrophy
    • Acne can worsen, improve or newly occured.
    • Headache no evidence of causation.
    • Skin atropy is a potential adverse effects of steroid use (case reports of skin atrophy at the site of subdermal implants).

Risks associated with Insertion or Removal Procedure


  • Important to check for non insertion and PALPATE skin after insertion.


  • Correct position is subcutaneously, just under the skin.
  • Deep insertion are more likely as a result of insertion technique.
  • May be diificult to remove/locate and greater potential for neurovascular injury, infection and scar formation


  • There is no need for additional precautions or abstinence prior to removal , providing it occurs no later than 3 years after insertion.
  • After removal , effective contraception is required immediately if pregnancy is not desired.
Disclaimer: The information contained in this website is for general information purposes only. The information is provided by MMA Online Contraceptive Course and while we endeavour to keep the information up to date and correct, we make no representations or warranties of any kind, express or implied, about the completeness, accuracy, reliability, suitability or availability with respect to the website or the information, products, services, or related graphics contained on the website for any purpose. Any reliance you place on such information is therefore strictly at your own risk.