Implant Insertion Self-Assessment

I have read the information on contraceptive implant information provided *

I understand that no method is 100% effective and that there is a small risk of failure (less than 1 in 100 over a year) *

I understand the device contains hormones and may have related side effects including breast, pain, weight gain and changes in mood. *

I understand that there is a risk of infection *

I understand that there will be a scar on the inside of upper part of arm *

I understand that the implant may be visible *

I understand thatvery rarely there may be damage to underlying nerves and blood vessels during the procedure *

I understand that in rare circumstances it may take more than one attempt to remove the device and you may need to have this done in hospital *

I understand that the implant may make my periods irregular or they may stop *