- A single-rod hormonal contraceptive implant that is inserted just under the skin of a woman’s upper arm.
- It can stay in place for 3 years, but can easily be removed before 3 years if needed.
- It is the most effective form of birth control.
- An experienced clinician must insert Nexplanon.
- Before insertion, the arm is washed with a cleaning solution and a local anesthetic is applied to the upper arm around the insertion area.
- A needle-like applicator is used to insert the rod under the skin into the subdermal tissue on the inner side of the arm between the biceps and triceps muscles.
- The average time for the insertion process is 10-15 minutes.
- A bandage should be kept on the insertion site for 24 hours afterwards.
- Bruising and mild discomfort are common after insertion.
- Serious insertion site complications such as infection can occur very rarely, in less than 1% of patients.
- Nexplanon should be removed after three years; however, it can easily be removed sooner if desired.
- The rod must also be removed by an experienced clinician using forceps.
- The removal procedure lasts, on average, 10-15 minutes.
Fertility After Removal
- Within a week of removal, the hormones from the device leave the body and are undetectable in most users.
- Most women will begin to ovulate within six weeks of removal.
- Fertility levels will return to what they were before Nexplanon insertion.
- Nexplanon is the most effective form of birth control available.
- The failure rate of Nexplanon is .05% for both perfect use and typical use because the method requires no user action after insertion.
- These statistics suggest that Nexplanon is almost ten times more effective at preventing pregnancy than tubal sterilization.
- Also, tubal sterilization is permanent, whereas the implant must be replaced every three years.
Women should not use Nexplanon if they:
- Are, or think they are, pregnant
- Are allergic to etonorgestrel (the hormone in Nexplanon)
- Have a history of breast cancer
- Have vaginal bleeding that has not been explained
- Are breastfeeding in the first 6 weeks postpartum
- Have severe liver disease
- One time insertion that lasts 3 years
- Most effective form of birth control
- Does not contain estrogen
- Works quickly after insertion
- Nothing to do right before sex to make it work
- Fertility returns quickly after removal
- 20% women have no more periods while using
- Irregular menstrual bleeding or spotting may occur when first inserted
- Pain at insertion site
- Possible small increase in weight
- Headache, acne, ovarian cysts, or change in mood can possibly occur
More information on the birth control implant
Adapted from: en.wikipedia.org/wiki/Nexplanon