Indications

• Nexplanon is for the prevention of pregnancy for up to 3 years
• Nexplanon is a small flexible rod about the size of a matchstick that is placed under the skin of your arm
• Nexplanon contains a form of progesterone that blocks ovulation
• You can use Nexplanon if you cannot or do not want to use estrogen, as it is estrogen-free

Benefits

• A good alternative for women who can’t use estrogen
• Can be used while breastfeeding
• Fewer hormonal ups and downs
• Rapid return of fertility after removal ( typically within a month)
• Immediately effective if placed between the 1^st and 5^th day of your cycle

Risks

• Failed insertion resulting in pregnancy
• Nexlanon is over 99% effective
• Pain, irritation, swelling, or bruising
• Scarring resulting in difficulty removing Nexplanon
• Expulsion is very rare
• Side effects can include irregular periods

Pre-procedure preparation

• You may take an anti-inflammatory such as Ibuprofen or Naprosyn a few hours before insertion of Nexplanon
• Use another form of birth control before insertion

Procedure

Your arm is cleansed and then numbed with a small injection. Nexplanon is placed just underneath the skin using a small needle introducer.  Your practitioner will have you feel Nexplanon by pressing your fingertips over the skin where Nexplanon was placed.  Your arm is then wrapped in gauze.

Aftercare

You can continue anti-inflammatories after insertion to decrease any pain you may have.  You should remove the gauze after 24 hours.  You should occasionally feel for the implant.