Contraceptive Implant Removal in London

Our consultant gynaecologists are experts in sexual health and contraception, providing all of the guidance and advice you need.

Our complete package brings your implant removal together with a gynaecology pelvic ultrasound scan, a contraception and fertility review, and a follow-up appointment, so you leave with clear answers as well as your implant removed.

About the contraceptive implant

The contraceptive implant is a small, flexible plastic rod, around 4 cm long, that sits just under the skin of your upper arm. It slowly releases the hormone progestogen, which stops your ovaries releasing an egg each month and helps prevent pregnancy (NHS). In the UK, the implant is known by the brand name Nexplanon (NHS inform).

It is one of the most effective forms of contraception available. The implant is more than 99% effective — fewer than 1 in 1,000 people who use it as contraception for five years will become pregnant (NHS inform). According to current NHS guidance, a single implant works for five years before it needs to be replaced, although it can be taken out sooner at any time.

There are many reasons why you might choose to have your implant removed. You may be ready to try for a baby, be coming to the end of your implant's lifespan, want to switch to a different method, or simply prefer to stop using it. Whatever your reason, our gynaecology services team is here to talk it through with you.

The contraceptive implant at a glance

A few key facts about the implant and what removing it involves.

Over 99% effective at preventing pregnancy (NHS)
5 years how long one implant works before replacement (NHS)
Around 4 cm length of the soft rod under the skin (NHS)
A few minutes typical time to remove an implant (NHS inform)

Is this package for me?

Any women wishing to remove a contraceptive implant in London.

What is included in this package?

This packages includes

  • A consultation with a Consultant Gynaecologist, including gynaecology pelvic ultrasound scanning
  • Full history taking and pelvic examination
  • Contraception review
  • Fertility review
  • Implant removal
  • Follow-up appointment

What happens at your appointment

1

Consultation and history

You will meet your consultant gynaecologist, who will talk through your medical history, your reasons for having the implant removed, and your plans for contraception or pregnancy. This is your chance to ask any questions.

2

Ultrasound and examination

Your appointment includes a gynaecology pelvic ultrasound scan and a pelvic examination. These look at your gynaecological health in more depth than a removal-only visit would, so the next steps you discuss are based on a fuller picture.

3

Contraception and fertility review

Together you will review your options, whether that is starting a new method of contraception, planning for pregnancy, or simply understanding what to expect once the implant is out.

4

Implant removal

A local anaesthetic numbs a small area of your upper arm. Your consultant makes a small cut, gently removes the soft rod and closes the area with a dressing. The removal itself usually takes only a few minutes, although occasionally an implant sits a little deeper and takes longer to remove — your consultant will examine your arm and talk you through the approach first.

5

Follow-up

A follow-up appointment is included in your package, giving you a chance to check how your arm has healed and to raise anything that has come up since your visit.

How will I get my results?

We are also happy to send the conclusions and records of your consultation to your GP and arrange any further referrals as appropriate.

After your implant removal

Contraceptive implant removal is a minor procedure carried out under local anaesthetic. The small cut on your arm is covered with a dressing, and the area may feel numb for two to three hours before sensation returns (NHS). A little bruising or tenderness around the site is common in the days that follow and usually clears up within a few weeks (NHS).

Your natural fertility should return to normal as soon as the implant is removed, so it is possible to become pregnant very soon afterwards (NHS). If you do not want to become pregnant, it is important to start another method of contraception from the day your implant comes out (NHS).

  • Keep the dressing on for around two days and keep the area clean and dry while it heals
  • Expect some bruising or tenderness, which usually settles within a few weeks
  • Take simple painkillers such as paracetamol if your arm feels sore
  • Contact a healthcare professional if you notice swelling, redness or any weeping from the site

If you would like ongoing support with contraception or your wider wellbeing, our consultants can talk through your options during your appointment, and you can also explore our sexual health check-up.

Further steps

Come in for a follow up appointment. If the check-up results in any concerns regarding your health, we will arrange a referral to relevant medical professionals, whether it be private or NHS, who will follow up on any of your concerns.

Good to know

This information is intended for general educational purposes only and does not constitute medical advice. Please consult a qualified healthcare professional for guidance specific to your individual circumstances. If you do not wish to become pregnant, remember that fertility can return very quickly once your implant is removed (NHS).

Your questions answered

How much does contraceptive implant removal cost in London?

Our Contraceptive Implant Removal Package is £1300. This is a complete package rather than a removal on its own, so the fee covers a consultation with a Consultant Gynaecologist, a gynaecology pelvic ultrasound scan, full history taking and pelvic examination, a contraception and fertility review, the implant removal itself, and a follow-up appointment.

You can book online or call us on 020 3687 2939 if you would like to talk through what the package involves before you commit.

Who removes the contraceptive implant?

Your implant is removed by a Consultant Gynaecologist who is an expert in sexual health and contraception. Rather than a standalone procedure, your appointment includes a full consultation, pelvic examination and a gynaecology pelvic ultrasound scan, so you have specialist guidance alongside the removal.

You can read more about our wider gynaecology services if you would like to understand the full range of care our consultants provide.

Is this package right for me?

This package is suitable for any woman who wishes to have a contraceptive implant removed in London. It is designed for people who want more than a quick removal, because it also includes a contraception review, a fertility review and a pelvic ultrasound scan.

If you are thinking about your next contraceptive step, or about trying to conceive, the consultation gives you the chance to discuss your options with a specialist before the implant is taken out.

What is included in the implant removal appointment?

The package includes a consultation with a Consultant Gynaecologist, a gynaecology pelvic ultrasound scan, full history taking and a pelvic examination, a contraception review, a fertility review, the implant removal, and a follow-up appointment.

Bringing these elements together in one visit means you leave with your implant removed and a clear picture of your gynaecological health and your options for the future.

How will I get my results after the appointment?

We are happy to send the conclusions and records of your consultation to your GP, so your regular care team has a full picture of your appointment. This is done at your request and helps keep your NHS records up to date.

If anything found during your consultation or scan needs further attention, we can arrange appropriate referrals, whether private or NHS, as part of your care.

Do I need a follow-up appointment after implant removal?

Yes, a follow-up appointment is included in the package, so this is already arranged as part of your care rather than an extra cost. It gives you the chance to check in and raise anything that has come up since your removal.

If your check-up highlights any concerns about your health, we will arrange a referral to the relevant medical professionals, whether private or NHS, who can follow up on those concerns.

Does contraceptive implant removal hurt?

Removal should not be painful. Your consultant uses a local anaesthetic to numb a small area of your upper arm for pain relief, so you should not feel pain while the implant is being removed (NHS).

The area may feel numb for two to three hours afterwards (NHS), and if your arm feels sore once the anaesthetic wears off, simple painkillers such as paracetamol usually help (NHS).

How long does it take to remove a contraceptive implant?

Removing the implant — known in the UK as Nexplanon — usually takes only a few minutes (NHS inform). If an implant is a little harder to feel, removal can take longer, and your consultant will talk you through the approach before starting.

Your appointment with us is longer than the removal alone, because it also includes a consultation, a pelvic ultrasound scan, a pelvic examination, and a contraception and fertility review.

How quickly does fertility return after contraceptive implant removal?

Your natural fertility should return to normal as soon as the implant is removed, and it is possible to become pregnant very soon afterwards (NHS). The implant does not have a lasting effect on your ability to conceive.

If you would prefer not to become pregnant, use another method of contraception from the day your implant is removed (NHS). If you are planning a pregnancy, your consultant can talk through pre-pregnancy care with you, such as starting folic acid (NHS).

When will my periods return after implant removal?

While the implant is in place, it is common for periods to change — they may become irregular, last longer, or stop altogether (NHS). Once the implant is removed, your fertility should return to normal straight away (NHS), and your own cycle can begin to re-establish itself, although exactly how quickly varies from person to person.

If your bleeding pattern worries you at any point after removal, or your period has not returned and you think you could be pregnant, speak to your consultant or GP for advice. Practical advice on caring for your arm after the procedure is covered in the aftercare section above.

How long does a contraceptive implant last before it needs replacing?

According to current NHS guidance, the implant works for five years before it needs to be replaced, and it is more than 99% effective when it is replaced on time (NHS).

You do not have to wait until then to have it removed. The implant can be taken out at any time, whether you are ready to try for a baby, want to change method, or simply wish to stop using it.

Contact

Do you want to know more or need a consultation?

Send us an enquiry

A clinician will reply within one working day.

For urgent matters please call 020 3687 2939.

Sources & clinical references

The figures and clinical statements on this page are drawn from the sources below. Guidance evolves — always discuss your individual circumstances with a clinician.

  1. NHSWhat is the contraceptive implant?
  2. NHSHow the contraceptive implant is fitted or removed
  3. NHS inform (Scotland)Contraceptive implant
  4. The Rotherham NHS Foundation TrustNexplanon implant removal aftercare advice
  5. Buckinghamshire Healthcare NHS Trust (bSHaW sexual health service)Contraceptive implant — patient information on implant insertions and removals2020