Arrange your Implant Appointment
The contraceptive implant (Nexplanon) is a small, flexible plastic rod that’s placed just under the skin in your upper arm. It provides reliable contraception for up to 3 years, but you can have it removed at any time if you choose to stop using it.
The implant slowly releases a low dose of progestogen, a hormone that helps prevent pregnancy. It’s one of the most effective forms of contraception available, and the chances of becoming pregnant while using it are very low.
Changes to your bleeding pattern are common. Some people experience frequent or irregular bleeding, while others may not bleed at all. These patterns can change over time.
For more detailed information, please visit the NHS guide to contraceptive implants and Nexplanon.
After your Nexplanon implant is inserted or removed, you’ll leave the clinic with a bandage over your arm. This helps keep the small wound clean and dry, reduces the risk of infection, and provides protection while the area heals. The bandage should remain in place for at least 24 hours after an insertion, and for at least 48 hours following a removal. If your arm or hand begins to feel numb or cold, the bandage may be too tight—someone can carefully loosen and reapply it. When washing, take care to keep the area dry by covering it with something waterproof, like a few layers of cling film. Once the bandage is removed, you may notice some bruising, which is completely normal. You might also see a thin plaster over the site—please leave this in place for another three to four days to support the healing process, then gently soak it off in the bath or shower.
It’s common to feel some tenderness in the arm for a day or two after insertion, and mild bruising may last up to two weeks. Pain relief such as paracetamol or ibuprofen can help, if suitable for you, though many people don’t need anything at all. You should be able to feel the implant under your skin—it’s about 4cm long, smooth, and slightly moveable. If you’re unsure whether it’s in place, it’s important to use condoms or avoid sex until it has been checked by a doctor or nurse.
Infection is rare, but if you notice any redness, swelling, severe pain, or discharge from the site—or if you think you may be having an allergic reaction—please contact your GP practice or call 111. While your arm is still tender, try to avoid any activity that could knock or irritate the area, and keep the bandage dry. Once the site has healed and any discomfort has settled, you can return to all your usual activities.