Birth control implants, such as Nexplanon, offer highly effective, long-lasting contraception. This small, flexible rod is inserted under the skin of the upper arm, releasing a progestin hormone to prevent pregnancy for up to three years. While generally well-tolerated, some individuals experience itching around the implant site. This sensation is often a common, temporary adjustment, but can sometimes signal a need for medical review.
Understanding Common Itching
Itching around a newly inserted birth control implant is a frequent experience. The body’s natural healing process following the insertion procedure involves inflammation and tissue repair, which can lead to itching. This mild discomfort often arises as the incision site mends. Mild skin irritation may also stem from the adhesive bandage, antiseptic solutions used during the procedure, or the initial pressure dressing.
This initial itching typically resolves within a few days to a couple of weeks as the wound heals. It is a normal physiological response, similar to what might occur with any minor skin wound. The presence of the implant itself can sometimes cause mild, intermittent itching as the body adjusts to its presence. This type of itching often diminishes over time, sometimes settling within a couple of months of insertion.
Possible Reasons for Persistent Itching
While mild, temporary itching is common, persistent or intensifying itchiness may indicate other underlying issues. One potential cause is a localized infection at the insertion site. Although rare, a bacterial infection can occur, leading to symptoms like redness, swelling, and increased pain, sometimes accompanied by pus or discharge. Folliculitis, an inflammation of hair follicles, can also develop around the implant site, presenting as itchy bumps or a rash.
Another less common, but more serious, reason for persistent itching could be an allergic reaction. The Nexplanon implant contains various components, including etonogestrel and barium sulfate. While rare, individuals can develop an allergy to these components. Symptoms of an allergic reaction can range from skin rash and itching to more severe reactions involving swelling or breathing difficulties. Such reactions might appear days to months after insertion and often require removal of the implant.
Signs Itching Needs Medical Attention
Certain signs accompanying itching at the implant site indicate that medical attention is necessary. Severe or worsening pain at the insertion site should prompt a visit to a healthcare provider. Significant swelling or redness that spreads beyond the immediate area where the implant was placed are also concerning indicators. The presence of pus, discharge, or warmth to the touch suggests a possible infection that requires professional evaluation and potentially antibiotics.
A fever, particularly if combined with localized symptoms, is another red flag that warrants immediate medical consultation. If the implant feels like it has moved significantly from its original position or is no longer palpable, a healthcare provider should be contacted. Any signs of a severe allergic reaction, such as difficulty breathing, a racing heart, or swelling of the face or throat, constitute a medical emergency.
Relieving Discomfort
For mild itching that does not present any concerning “red flag” symptoms, several strategies can help alleviate discomfort. Keeping the insertion site clean and dry is important for healing and preventing irritation. Avoiding tight clothing or bras that might rub against the implant area can also reduce friction and irritation. Applying a cool compress to the itchy spot may provide temporary relief by numbing the area and reducing inflammation.
Over-the-counter antihistamines, such as cetirizine, can help manage generalized itching. Additionally, a healthcare provider may suggest applying a mild over-the-counter hydrocortisone cream to the itchy skin around the implant. However, it is important to consult with a pharmacist or doctor before using such creams, especially if there is any uncertainty about the cause of the itching. These methods are suitable for minor, non-alarming itching, and if worrying symptoms appear, medical advice should be sought immediately.