Ask An Expert: Norplant Removal

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Ask An Expert: Norplant Removal

Question:

What type of doctor do I need to see to have my Norplant implant removed?

Answer:

Norplant is a method of birth control relying on the placement of small plastic capsules beneath the skin. The capsules contain levonorgestrel, a hormone that is gradually released into the blood. The circulating hormone prevents pregnancy by suppressing ovulation, thickening the cervical mucus, and altering the uterine lining.

Norplant is an attractive contraceptive for many women because it is highly effective with a low rate of unintended pregnancy. Its advantages also include convenience. No effort on the part of the patient is required after insertion, and the implants are effective for five years. One disadvantage to Norplant is its impact on the menstrual pattern. Many women experience spotting or irregular cycles.

Another disadvantage of Norplant is the need for minor surgical procedures for insertion and removal of the capsules. These procedures are done in an office setting with local anesthesia. The capsules are usually inserted beneath the skin on the inner aspect of the upper arm. Discomfort and infection are potential risks. Norplant is usually inserted and removed by a gynecologist, a specialist in women's reproductive health.

Joan Bengtson, M.D., is assistant professor of obstetrics, gynecology and reproductive biology at Harvard Medical School and a member of the Department of Obstetrics, Gynecology & Reproduction at Brigham and Women's Hospital.

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Last updated:	January 24, 2007