Nexplanon

     
  • A single-rod hormonal contraceptive implant that is inserted just under the skin of a woman’s upper arm.
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  • It can stay in place for 3 years, but can easily be removed before 3 years if needed.
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  • It is the most effective form of birth control.

Insertion

     
  • An experienced clinician must insert Nexplanon.
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  • Before insertion, the arm is washed with a cleaning solution and a local anesthetic is applied to the upper arm around the insertion area.
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  • 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.
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  • The average time for the insertion process is 10-15 minutes.
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  • A bandage should be kept on the insertion site for 24 hours afterwards.
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  • Bruising and mild discomfort are common after insertion.
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  • Serious insertion site complications such as infection can occur very rarely, in less than 1% of patients.

 

Removal

     
  • Nexplanon should be removed after three years; however, it can easily be removed sooner if desired.
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  • The rod must also be removed by an experienced clinician using forceps.
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  • 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.
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  • Most women will begin to ovulate within six weeks of removal.
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  • Fertility levels will return to what they were before Nexplanon insertion.

 

Effectiveness

     
  • Nexplanon is the most effective form of birth control available.
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  • The failure rate of Nexplanon is .05% for both perfect use and typical use because the method requires no user action after insertion.
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  • These statistics suggest that Nexplanon is almost ten times more effective at preventing pregnancy than tubal sterilization.
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  • Also, tubal sterilization is permanent, whereas the implant must be replaced every three years.

 

Contraindications

  Women should not use Nexplanon if they:

     
  • Are, or think they are, pregnant
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  • Are allergic to etonorgestrel (the hormone in Nexplanon)
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  • Have a history of breast cancer
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  • Have vaginal bleeding that has not been explained
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  • Are breastfeeding in the first 6 weeks postpartum
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  • Have severe liver disease

 

Advantages

     
  • One time insertion that lasts 3 years
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  • Most effective form of birth control
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  • Does not contain estrogen
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  • Works quickly after insertion
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  • Nothing to do right before sex to make it work
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  • Fertility returns quickly after removal
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  • 20% women have no more periods while using

 

Disadvantages

     
  • Irregular menstrual bleeding or spotting may occur when first inserted
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  • Pain at insertion site
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  • Possible small increase in weight
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  • 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

Sexual Health Sexually Transmitted Infections (STIs) Contraception