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Contraceptive Implant Fitting & Replacement

Local anaesthetic

Local anaesthetic injection

Length of appointments

Approx. 45 minutes

Recovery

Continue largely as normal. Learn more.

Locations

Journey Overview

A contraceptive implant fitting or replacement is a simple procedure that takes only a few minutes, rarely causing complications, and requires no stitches.

The consultation and procedure happen in one appointment, as long as it's safe to do so.

#1 Pre Appointment Questionnaire

To prepare for your appointment, we ask you to fill out a simple questionnaire. This helps us ensure that there is enough time for discussion and the procedure.

Click here to request an appointment.

#2 Consultation

We will begin by discussing any questions you may have about the implant and the procedure, and we will rule out pregnancy before proceeding. For deep implants, an ultrasound scan may be conducted to confirm its location.

#3 Apply Local Anaesthetic

We will clean the area of your arm with an antiseptic wipe and administer a local anaesthetic injection to ensure you're comfortable during the procedure.

#4 Procedure

Once the area is numb, we will insert or replace the implant under the skin of your upper arm. If replacing, a small cut will be made to gently remove the old implant before fitting the new one. We will then apply a bandage to the site, which should remain clean and dry for 24-48 hours.

#5 Post-Procedure Monitoring

You’ll have a few moments to rest, and we will make sure you're feeling alright before you leave. We'll also answer any further questions you might have.

For more details on aftercare, please refer to our dedicated implant aftercare page.

Eligibility

Best For

Long-term (3 year) contraception.

Pregnancy Restrictions

No pregnancy risk; not emergency contraception.

Menstrual Restrictions

Fitting OK during period; bleeding changes.

Antibiotic Restrictions

No specific restrictions to common medications.

Contra-indications

Pregnancy.

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Consult Your Clinician If...

Infection, implant change/lost, post-procedure issues.

FAQs

When can I have an implant fitting/replacement?

The implant can be fitted at any time during the menstrual cycle, as long as there is no risk of pregnancy.

If the implant is fitted during the first 5 days of your menstrual cycle, you will be protected immediately from pregnancy.

If inserted at any other time, you will not be protected from pregnancy straight away, and will need to use an additional method of contraception for another 7 days.

Can I have the implant fitted as emergency contraception?

No, the implant cannot be used as emergency contraception.

The IUCD (or the copper coil) is used as emergency contraception and has the highest efficacy rate in preventing an unwanted pregnancy.

Can I have an implant fitting/replacement if I am on my period?

Yes, you can.

What are the possible complications of having an implant fitting/replacement?

It is very likely that your bleeding patterns can change and either you may have more frequent/heavier bleeding or no bleeding at all.

Patients may also experience hormonal side effects such as headaches, breast tenderness, mood swings, acne, weight gain and nausea.

The side effects tend to settle after 3-6 months.

What is the effectiveness of an implant?

The implant is over 99% effective once fitted, and lasts for 3 years.

How can I prepare for my implant fitting/replacement?

You do not need to do anything to prepare for your appointment. However, wearing a top where the sleeves are easy to roll high up the arm will be helpful and showering in the morning to avoid getting it wet in the evening.

Will I need to take time off for my implant fitting/replacement?

There is no need for you to take any time off after the implant fitting/replacement.

Can I bring someone with me?

Yes. You can bring your partner, friend or family member to your appointment.

However, if you feel that you would rather not bring someone to the appointment, rest assured that our staff are here to support you and make you comfortable in any way possible. Clarewell Clinics is a safe space.

What travel arrangements should I make for after the implant fitting/replacement?

Just keep in mind that your arm may be slightly sore. But other than that, you do not need to make any special arrangements.

Does the implant fitting/replacement hurt?

You should not feel any pain during the procedure, as the area will be numbed with a local anaesthetic injection. This can not take away a pressure feeling when the implant is placed. Our specialists will walk you through what to expect and how to be prepared during the consultation.

You may ask any questions you may have then and discuss ways in which to make the procedure more comfortable.

Can I listen to my music during the implant fitting/replacement?

Yes, absolutely you can. Please let us know at the time of your booking (or upon your arrival) so that we are ready to accommodate your wishes.

Does the implant fitting/replacement hurt?

You should not feel any pain during the procedure, as the area will be numbed with a local anaesthetic injection. This can not take away a pressure feeling when the implant is placed. Our specialists will walk you through what to expect and how to be prepared during the consultation.

You may ask any questions you may have then and discuss ways in which to make the procedure more comfortable.

Can I have an STI test during my appointment?

Absolutely. Please request this at the time of booking so that we may book you an extended appointment.

For more information about our STI tests, please visit this page: https://www.clarewellclinics.co.uk/sexual-health-clinic/.

What should I expect after my implant fitting/replacement?

Overall, you should feel completely fine after getting your implant taken out.

Your arm may feel tender or swollen around the area where the implant was for a few days and sometimes a bit of bruising may be noticeable after the procedure. Otherwise, you will be fine to go on with the rest of your day as normal.

We recommend keeping the bandage around your arm upto 48 hours. This will mean avoiding any water in the area and (possibly) physical activity.

Other complications, like infections and scarring are extremely rare.

Will I require a follow up appointment after my implant fitting/replacement?

It’s not always necessary to have a check up after an implant fitting/replacement, unless you are experiencing symptoms of infection (pain, fever, swelling), you think the implant has changed shape in your arm, or you can no longer feel it.

What do I do if I think I have a problem after the implant fitting/replacement?

If you think that something is not quite right after your procedure, please contact the clinic or email us on info@clarewellclinics.co.uk.

We will be able to arrange a follow up call for you and your clinician will be able to discuss the next steps with you.

Patient Feedback

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P R
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Mr Aaron Williams saw us while we were visiting London from the US and he treated us well, with compassion and professionalism. Seeing him helped put us at ease for the rest of our trip, which ended up being great.
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E R
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Incredible care and treatment. Can't thank Dr Jayadeva and his team enough who put me at great ease and looked after me. Wonderful clinic will be recommending.
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A L
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I had a copper coil removal yesterday with Dr Praveen Jayadeva. If you are at all nervous about an iud fitting or removal, I couldn't recommend this clinic enough. I had a very painful experience at a different clinic that made me really scared about the removal procedure. They really take the time to talk you through what's going to happen and what type of pain relief options you have. They were so friendly and comforting (both the doctor and the amazing assistant) and procedure was so quick. They even offer you tea and biscuits afterwards. Really fantastic and professional clinic!
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B G
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I had a coil done here. It was an amazing experience, really worth the money paid. The doctor took the time to go through the process and all the options in detail. I felt prepared and well cared for. I had numbing gel and spray and also gas and air. The actual coil fitting was less then 5 minutes. I felt a little discomfort, but the gas and air managed this very well. The team were all very supportive and caring. My coil lasts for 5 years, I'm very happy with my experience. Could not recommend enough.
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Dr. Malu was able to help me fully understand and put into context my concerns surrounding HPV, which at times can feel like a confusing subject. His ability to listen and understand my concerns with empathy and without judgement was very helpful. I am grateful for the expertise and care given by Dr. Malu and the staff at his clinic. The team provides a very professional and comfortable experience.
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Fantastic and caring team from booking process, reception, appointment and billing. Went for a coil removal. They had ultrasound and gas for pain management (when I checked it seemed they were the only clinic that offered this!!). 100% recommend. Especially if you’re getting a coil, want to make sure you do it with a top professional team. I inserted it elsewhere and it was a barbaric procedure for me, insanely painful and just awful. So save yourself unnecessary trauma/pain
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I had such a great experience at Clarewell Clinic. I was extremely nervous about the pain before my copper IUD fitting, but Dr Praveen Jayadeva explained everything clearly throughout the appointment and made me feel completely comfortable. I was given pain relief and the fitting was honestly so much easier than I expected — I barely felt any pain at all. Yasmin was also incredibly lovely and reassuring throughout. I’m genuinely so happy I chose Clarewell and would definitely recommend them. 10/10.
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D D
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Fantastic service and excellent communication.
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L H
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Both Dr Jayadeva and Jasmine were absolutely lovely and super skilled. They really listened to me and made sure I was comfortable. I really appreciate the pain relief that was provided as well! Whenever I need anything gynae related I will come back to this surgery.
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I A
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I came with deep implant removing today. *NHS only promises, long waiting lists and refuse me on 4 places they said can't help me. Place nr 5., I anymore not waiting, it's enough for me.🙉 I choice this clinic and this be my best choice ever. This clinic staff are amazing, kind, helpful, e.t.c .I have only positive emotions. All team made my day.I want say THANK YOU Dr. Praveen Jayadeva🎉You are amazing. You are STAR!!!!!! And all clinic staff - BIG THANK YOU...Sorry I don't know names😊You SAVE ME🤩THANK YOU... I HIGHLY RECOMMENDED THIS CLINIC🤩 10+ STARS

Fees

Routine Implant Removal - £175

This is where both sides of the implant can be felt and no one has tried to remove it before. Consultation + procedure can happen on the same day for those who have filled out the pre-appointment questionnaire.

For international patients with two rods, we charge £250.

Ultrasound Guided Implant Removal - £475

This is designed for those who are looking for a deep implant removal or non-palpable implant removal. The consultation + procedure can happen on the same day for those who have filled out the pre-appointment questionnaire.

Implant Fitting/Replacement - £300

The consultation + procedure can happen on the same day for those who have filled out the pre-appointment questionnaire. For those seeking an implant replacement, we need to ensure that both sides of the implant can be felt - otherwise, the ultrasound guided implant removal will be required.

Local Anaesthetic

Included in the procedure

Payment Options

Self Pay – by Cash/Card), but not American Express

Health insurance – via a self reimbursement policy

Klarna – a payment plan to split the cost over 4 payments.

Next Steps

Care - In Clinic

Care - Online

Page last reviewed by Dr Praveen Jayadeva on 1 April 2022 for general guidance only. It is not intended to replace the advice of your clinician.