Having a contraceptive implant removed can bring a mix of relief, uncertainty, and questions. Many people wonder how their body will respond, how quickly hormones will settle, and whether changes they experience are normal.
Understanding what may happen after removal can help you feel more prepared and confident during the adjustment period. At Brisbane City Doctors, our GPs regularly support patients through this transition, offering guidance, reassurance, and follow-up care when needed.
Why People Choose to Have Their Contraceptive Implant Removed
People choose implant removal for many different reasons, and all are valid. Common reasons include:
- The implant reaching the end of its recommended duration
- Wanting to try a different form of contraception
- Experiencing side effects such as irregular bleeding or mood changes
- Planning pregnancy now or in the future
- Lifestyle or health changes that affect contraception preferences
Removal is a routine part of contraception care and does not mean something has gone wrong. For many, it is simply the next step in managing reproductive health.
What Happens During and Immediately After Removal
Contraceptive implant removal is usually a short, in-clinic procedure performed by a trained GP. After removal, it is common to experience:
- Mild tenderness, swelling, or bruising at the removal site
- A small dressing applied to the arm
- Minimal disruption to daily activities
Your GP will provide aftercare instructions, including keeping the area clean and dry and monitoring for signs of infection, which are uncommon but important to recognise early.
Hormonal Adjustment After Implant Removal
Once the implant is removed, the hormones it released begin to clear from the body. This hormonal adjustment phase can feel different for everyone.
Some people notice:
- Temporary mood changes or emotional sensitivity
- Changes in energy levels
- Headaches or mild physical symptoms
These effects are often short-term and part of the body re-establishing its natural hormonal rhythm. If symptoms persist or become distressing, a GP review is recommended.
Menstrual Changes: What Is Normal?
Menstrual changes are one of the most common concerns after implant removal.
You may experience:
- Irregular bleeding or spotting
- Heavier or lighter periods than expected
- Changes in cycle length
- A delay before periods return to a predictable pattern
For some, periods resume quickly. For others, it may take several weeks or months for cycles to regulate. This variation is normal, but ongoing or heavy bleeding should be assessed by a GP.
Fertility After Contraceptive Implant Removal
Many people want to know how quickly fertility returns after implant removal. Fertility can return soon after removal, but timing varies.
Important considerations include:
- Ovulation may occur before your first period
- Cycle regularity can take time to stabilise
- Pregnancy can occur if no alternative contraception is used
If pregnancy prevention is still desired, discussing next steps with a GP at the contraception clinic is important.
Skin and Arm Care After Removal
The removal site usually heals well with basic care. You may be advised to:
- Keep the dressing on for a short period
- Avoid heavy lifting or pressure on the arm initially
- Watch for redness, increasing pain, or discharge
Any signs of infection or delayed healing should be reviewed by a GP promptly.
Emotional Wellbeing After Removal
Hormonal changes can sometimes affect emotional wellbeing. Some people report feeling more settled after removal, while others notice temporary emotional fluctuations.
If you experience:
- Ongoing low mood
- Anxiety or emotional distress
- Changes that affect daily functioning
It is important to seek support. Your GP can assess whether symptoms are related to hormonal changes or other health factors and guide appropriate care, including referral if needed.
Deciding on Your Next Contraception Step
Implant removal often prompts questions about what comes next. Some people choose to:
- Start another form of contraception
- Take a break from hormonal contraception
- Begin planning pregnancy
These decisions can be supported through GP consultations, taking into account your health, preferences, and future goals. Related services such as women’s health care and sexual health services can also play a role in ongoing care.
When to Seek Medical Advice After Removal
While many changes are expected, you should seek GP review if you experience:
- Heavy or prolonged bleeding
- Severe or worsening pain
- Signs of infection at the removal site
- Symptoms that persist beyond the initial adjustment period
- Concerns about fertility, cycles, or hormonal symptoms
Early assessment can provide reassurance or identify any issues that need treatment.
Support Before and After Implant Removal
Having access to reliable medical advice before and after implant removal can make a significant difference to how supported you feel during the process.
If you are planning removal or have concerns following the procedure, you can book an appointment with Brisbane City Doctors. In some cases, initial discussions may also be appropriate via telehealth GP appointments before attending the clinic.
Disclaimer: The information provided in this blog is for general educational purposes only and should not be taken as medical advice. It is not a substitute for professional diagnosis, treatment, or care. Always seek the guidance of your doctor or other qualified healthcare professional with any questions you may have regarding your health or medical condition.