- Welcome page »
- HCP home »
- Resources »
- Consultation Pathway
Consultation Pathway for Progestogen-only Implants
There are several steps to consider when counselling women about the use of progestogen-only implants. Below is a checklist intended for appropriate consultation when considering a progestogen-only implant such as Nexplanon.
1. Eligibility for progestogen-only implants
- Is this the contraceptive of choice?
Have other options been discussed? - Are there any potential risks that may outweigh the benefits?
2. Assessments when considering progestogen-only implants
- Clinical history assessment: past and present gynaecological, obstetric or medical conditions; prescription, non-prescription or herbal drug use; family history and sexual history
- Blood pressure/body mass index
3. Provision of information
- Contraceptive efficacy
- Time to return of fertility
- Possible side effects (e.g. bleeding, weight change, mood change, loss of libido, acne and headache)
- Discontinuation/removal information
- Drug interactions
- Potential risk of migration although the implant should always be palpable
4. Timing of insertion
- Inserting timing/information/wound care
- Switching from another form of contraception (hormonal and non-hormonal)
- Postpartum (breastfeeding or non-breastfeeding)
- Post-termination of pregnancy
5. Information about ongoing use and follow up
- Reducing the risk of sexually transmitted infections
- No need for routine follow-up/return if problems
- Symptoms requiring medical attention
6. Managing problems associated with progestogen-only implants
- Irregular bleeding
- Non-palpable implants
- Pregnancy
7. Removal
- When, where and how?
- Potential removal difficulties if inserted too deeply
We would like to gratefully acknowledge the assistance of Diana Mansour (Graingerville Clinic, Newcastle General Hospital) in writing this consultation checklist.
