Sticking a solid object into the body is not easy, and the arm is one of the few spots where you aren’t gonna regularly bump or move it, and its the least risky to open up surgically to implant, as your legs have a whole lot more everything, and your torso is filled with delicate organs.
Its also quite common with adults as a lot of longer-term hormonal birth control methods reportedly produce less side effects, and the inability to forget a dose is highly convenient.
If she is experiencing chronic pain from it, she should see a doctor. After it gets settled in it shouldn’t be very noticeable at all
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