Implant not Impregnate!

Heyy, 

Sitting in the surgery doctors waiting room to say I was nervous was an understatement. I was anxiously tapping my foot on the floor as I answered questions about my sexual health. Have I ever been paid for sex? Have I ever been forced into sex? Have I ever had abusive sex? Some of the detailed questions were strange, but I suppose they have to ask them as nurses in order to safeguard, both as an arse-covering exercise and to flag up any would-be problems or concerns. And so here I was for my fourth implant exchange. 

Looking on the NHS website, Nexplanon, otherwise known as the contraceptive implant is a small flexible plastic rod that looks a little like a match stick. It is placed under the skin in your upper arm by a doctor or nurse and releases the hormone progestogen into your bloodstream to prevent pregnancy. Lasting for 3 years, it is more than 99% effective and can be useful for women who can't use contraception that contains oestrogen.

The science-y part states that the implant steadily releases the hormone progestogen into your bloodstream, which prevents the release of an egg each month AKA your period.  It also thickens the cervical mucus, which makes it more difficult for sperm to move through the cervix, and thins the lining of the womb so a fertilised egg is less likely to implant itself and cause that dreaded pregnancy! 

The NHS website also states that you can have the implant put in at any time during your menstrual cycle, as long as you're not pregnant. If the implant is fitted during the first 5 days of your menstrual cycle, you will be immediately protected against becoming pregnant, however, if it's fitted on any other day of your menstrual cycle, you'll need to use additional contraception (such as condoms) for 7 days, although if you ask the sexual health nurse or doctor they will usually provide you with as many as you need in a nice little discreet packet, almost like a goody bag or sticker like from the Dentist. 

Some of the reasons to choose the implant over other forms of contraception are that once the implant is in place, you don't have to think about it again for 3 years and is very useful for women who find it difficult to remember to take a pill at the same time every day like me. Obviously, the implant can be taken out if you have side effects which could include periods may become irregular, lighter, heavier or longer but once removed your natural fertility will return very quickly. As soon as that implant has been removed, you'll no longer be protected against pregnancy. You can also use this method until you reach the menopause when a woman's monthly periods stop naturally.

Another common side effect is what I have most of the time which is called amenorrhoea when your periods stop altogether. It's not harmful, but you may want to consider this before deciding to have an implant if unlike me you prefer Aunt Urma staying more regularly. I think this, along with the fact I am incredibly forgetful and blase about the small stuff in life, means this is perfect and I only really need to think about it when I am having it exchanged and replaced. 

I mean obviously, it goes without saying that some medicines can make the implant less effective and that it won't work or protect against sexually transmitted infections (STIs), so you may need to use condoms as well if you are not familiar with your bed-fellow. I think I found it especially useful when I was dating (although this feels like many, many moons ago now) as I was not only using condoms but also relying on my implant too as a sort of double barrier, just in case the condom split or came off. 

To have it removed as I have this evening is simple as well and mostly pain-free. Starting with a local anaesthetic to numb the area on the inside of your upper arm, the implant is then inserted under your skin (mine was after the doctor made a tiny cut in my skin and gently pulled the implant out). It only takes a few minutes to put in and feels like having an injection so you won’t be in need of any stitches afterwards. 

As I type to you all tonight I have been through this very quick and simple procedure several times over and, like me, when it's first put in you may feel some bruising, tenderness or swelling around the implant. My arm is killing me right now, mainly because the nurse took it out and nearly forgot to put me a new one back in, by which point the general anaesthetic had nearly worn off so inserting that little stick felt like pumping molten chilli sauce into my arm. But I am now protected, at least in part from Mr Warehouse's super sperm. His whole family seem to be able to procreate at a somewhat incredible level I don't think I have ever encountered before. 

Don't get me wrong, as the day approached and even this afternoon as I thought more and more about it I know that this will be the last time I will have it going in as I will not be finishing the full term until September 2022. If Mr Warehouse had it his way we would have had children back when we met, aged twenty-two and me at twenty-three. I, however, prefer the more planned and thought out route, choosing to get life to a more stable place, with a house and well-formed relationship to steady the unpredictability of a child. And to think that the next time I lay down on that bed, fist punching the air will be when I have made the decision to breed and make more little me's!

'Til next time, Love A.Lou xx

A Crime-Scene in My Pants

Evening one and all, 

So after a long and stressful week I was certainly looking forward to the weekend and a much deserved bottle or two. Settling into the drivers seat outside TESCO as I prepared for the journey home, snacking on some ham since I had been hungry since missing my lunch that day. Suddenly walking past the front of my little Viv I noticed my Dad, and, clocking one another I was certainly glad for what ensued. Several hours later we had touched on many a subject including marriage, travelling and home buying, something until only recently I had sought some professional advice about. I think that everything last week had seemed like a challenge and that I wasn't going anywhere and that getting to where I wanted to be, especially on the property ladder, seemed out and out so un-achievable unless I came into a great deal of money or spent the next decade saving. Seeing Dad was lovely and the heart to heart conversations was what I severely missed in my relationship with him. Pop's probably doesn't even realise it but our meeting was really cathartic and meant a great deal to me, even if it was unplanned. 

Seeing Family over the weekend also cheered me up no end, especially my cousins. Aged eleven and twelve, both boys are starting to learn about the world and how it works, and during the course of Saturday I was taught the difference between all the difference levels of Cannabis on the spectrum of hallucinogenics and how these days, schools tend not to bother with the whole banana and condom trick. Oh no! Kids nower days are given full blown Dildo's (And yes my cousin did shout the word dildo several times in the middle of Costa Coffee) and made to put a condom on. The world has come a long way since 2001 I thought. 

Back in the day the lad's and ladies were separated in order to learn about their bodies, but we were never shown or taught what the other had to endure. Ergo, we had the era of the period jokes and a crude fascination with the opposite sex. I would have loved to be a fly on a wall in that room, hearing all about inappropriate boners and what semen contains. I suppose as a boy is may have been equally interesting listening into tits and fannies for half hour every Thursday afternoon. 

In this time frame all the girls were handed a booklet about our body and how it changes in preparation for periods and the eventuality of childbirth. This was my actual nightmare beginning. I hated,  and still do, talking about periods openly. It is something private and whilst every women aged fifteen to fifty does it I still feel a twinge of cringe when I open up about bleeding 'downstairs'. I don't laugh and period puns and can hardly stand it buying tampons or pads, forcing them through the self-scan at TESCO like some strange lady with a weird body function to hide. Its embarrassing - Both being so ashamed of it and actually having to put up with altering your life for however many days in the month. I am lucky in a way that I never suffered at the hands of cramping or major mood swings like some of my friends in the playground, however I think every girl will admit to remembering those dark days when you didn't know how to manage it. Spills, accidents and leaks were something I loathed but in a way I was grateful because it meant that someday I could have my own children and in  way I have now come to accept that it is something natural and normal. 

I will still try to hide away when someone reminds me of that scene in a Rom-Com somewhere, I think its called 'No Strings Attached' (which is ironically funny when I tell you where this is going). Ashton Kutcher (love of my life) makes a period mix-tape and brings round cupcakes for all his Bae's friends, including one friend who describes her period as "A Crime-Scene in My Pants". On this mix-tape including old favourites such as Bleeding Love by Leona Lewis, Red Red Wine by UB40 and The Tide Is High by Atomic Kitten (or Blondie, if your so inclined). As cringe as that was it does go on and the full track listing can be found online. Cute, cringe and bile-inducing all at the same time is hard, but somehow Ashton nails it ... And me if he is in Bedford any time soon!

Back in the classroom the time soon comes when both the classes were combined, adding to the social awkwardness, both for students and teachers alike. Settling an unruly class is one thing, but trying in-vain to teach them about the birds and the bees was another, and so most teachers at my small town Middle School chose to simple put in a VHS they had recorded from a teachers Satellite channel in the late, late hours (Yes I did just say VHS). 

But I must confess that in the whole history of me being in school, both middle and high, the majority if not all of the things I learnt and picked up weren't from phallic shaped fruits or dodgy home-recorded videos, It was from friends (Miss Tweedle-Dee deserves a shut out here as my main provider of such material and knowledge), late night babe channels and sadly porn. I think that teaching kids younger about what is right and wrong in relationships is and can only be a good thing. Starting them off young, telling them about the Pant Rule and showing them about how good relationships work is crucial in bringing down the number of Rapes, teen and unwanted pregnancies as well as STI's and non-abusive relationships. It can only get better and as on the continent shows that good things come from starting them off early with preventative education and serious chats about well-being. 

'Til next time, Love A.Lou xx