Long Acting Reversible (LARCs)
- 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.
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