Etonogestrel

Introduction

Etonogestrel is a hormonal contraceptive used for long-term birth control in women. It is typically available as a subdermal implant that releases the hormone steadily over time to prevent pregnancy. Etonogestrel belongs to the class of progestins and works by stopping ovulation, thickening cervical mucus, and altering the uterine lining. The implant is effective for up to three years and is a convenient and highly reliable option for women seeking a long-term, reversible contraceptive method.

Uses of Etonogestrel

• Prevention of pregnancy (long-term contraception)
• Hormonal regulation in certain gynecological disorders (off-label)

How Etonogestrel Works

Etonogestrel prevents pregnancy by inhibiting ovulation (the release of an egg from the ovary). It also thickens cervical mucus, making it difficult for sperm to reach the egg, and alters the uterine lining, reducing the chances of implantation. These combined actions provide effective and long-lasting contraception.

Benefits of Etonogestrel

• Highly effective in preventing pregnancy (over 99% effectiveness)
• Convenient and long-acting (up to 3 years)
• No daily pills or monthly injections needed
• Fertility usually returns quickly after removal
• Reduces menstrual cramps and flow in some users

How to Take Etonogestrel

Etonogestrel is administered by a healthcare provider as a small implant placed under the skin of the upper arm. The procedure is quick and done under local anesthesia. The implant releases the hormone slowly over three years. It should be removed or replaced before the end of the third year for continued protection.

Type of Dosage Available

• Subdermal implant

Side Effects of Etonogestrel

• Irregular menstrual bleeding or spotting
• Headache
• Weight gain
• Breast tenderness
• Mood changes or depression
• Insertion site pain or infection (rare)

Safety Advice

• Should be used under medical supervision only
• Not suitable for women with a history of breast cancer or blood clots
• Inform your doctor if you have liver disease or unexplained vaginal bleeding
• Monitor menstrual patterns and report significant changes
• Use additional contraception if implant is removed and not replaced

Frequently Asked Questions (FAQs)

Q: What is Etonogestrel used for?

A: Etonogestrel is used as a long-acting contraceptive to prevent pregnancy for up to three years.

Q: How is Etonogestrel administered?

A: It is placed as a small rod implant under the skin of your upper arm by a healthcare provider.

Q: Can I get pregnant after the implant is removed?

A: Yes, fertility typically returns quickly, often within a few weeks after removal.

Q: Does Etonogestrel affect periods?

A: Yes, it may cause irregular periods, lighter or heavier bleeding, or no periods at all in some women.

Q: Is Etonogestrel safe for everyone?

A: No, it may not be suitable for women with certain medical conditions like breast cancer or liver disease. Always consult your doctor before use.