Nexplanon® is a form of long-acting reversible contraception that consists of a small, flexible rod about the size of a matchstick. This rod is inserted under the skin of your upper arm and releases a hormone called etonogestrel, which is a synthetic progestin. By continuously releasing this hormone, Nexplanon® effectively prevents ovulation, meaning that your ovaries do not release eggs.
Additionally, it thickens the cervical mucus, making it more difficult for sperm to enter the uterus and fertilize any eggs that may be present. This dual action makes Nexplanon® a highly effective contraceptive method, boasting a success rate of over 99%. The convenience of Nexplanon® lies in its long-term effectiveness.
Once inserted, it can provide protection against pregnancy for up to three years without requiring daily attention or routine maintenance. This makes it an appealing option for individuals who prefer a “set it and forget it” approach to birth control.
Key Takeaways
- Nexplanon® is a small, flexible implant that is placed under the skin of the upper arm to prevent pregnancy by releasing a hormone called progestin.
- The insertion process for Nexplanon® involves a healthcare provider numbing the area, inserting the implant using a pre-loaded applicator, and then covering the insertion site with a small bandage.
- Common side effects of Nexplanon® include changes in menstrual bleeding patterns, headaches, and weight gain, while complications may include implant migration, infection, or scarring at the insertion site.
- After insertion, it is important to keep the insertion site clean and dry, avoid touching or pressing on the implant, and to check the implant regularly to ensure it is in place.
- Nexplanon® can be removed by a healthcare provider at any time, and after removal, the area should be kept clean and dry to prevent infection, with a small bandage applied to the site.
The insertion process: What to expect
When you decide to get Nexplanon®, the first step is to schedule an appointment with your healthcare provider. During this visit, you will discuss your medical history and any concerns you may have about the procedure. It’s essential to be open and honest with your provider so they can determine if Nexplanon® is the right choice for you.
On the day of insertion, you can expect to spend about 15 to 30 minutes at the clinic. The actual insertion process is relatively quick and straightforward. Your healthcare provider will first clean the area on your upper arm where the rod will be inserted.
They will then use a local anesthetic to numb the area, ensuring that you feel minimal discomfort during the procedure. After the area is numb, your provider will use a special applicator to insert the Nexplanon® rod just beneath the skin. You may feel a slight pinch or pressure, but most people report that the discomfort is minimal and short-lived.
Once inserted, your provider will check to ensure that the rod is in place and may apply a small bandage over the insertion site.
Side effects and complications to be aware of
Like any medical procedure or medication, Nexplanon® can come with side effects and potential complications. It’s important to be aware of these so you can make an informed decision about your contraceptive options. Common side effects include irregular bleeding or spotting, especially during the first few months after insertion.
Some users may experience changes in their menstrual cycle, such as lighter periods or missed periods altogether. While these changes can be concerning, they are often temporary as your body adjusts to the hormone. In some cases, more serious side effects can occur, although they are relatively rare.
These may include headaches, weight gain, mood changes, or acne. Additionally, there is a small risk of complications related to the insertion process itself, such as infection or improper placement of the rod. If you notice any unusual symptoms or have concerns about your Nexplanon®, it’s crucial to reach out to your healthcare provider for guidance.
How to care for your Nexplanon® after insertion
| Activity | Frequency |
|---|---|
| Keep the insertion site clean and dry | Regularly, as needed |
| Avoid heavy lifting or strenuous exercise | For the first 24 hours |
| Check the insertion site for signs of infection | Regularly, as needed |
| Follow up with healthcare provider as scheduled | As recommended |
After your Nexplanon® has been successfully inserted, caring for the insertion site is essential for ensuring proper healing and minimizing complications. You should keep the area clean and dry for at least 24 hours following the procedure. Avoid submerging the insertion site in water, such as in baths or swimming pools, until it has fully healed—typically within a week.
If you notice any signs of infection, such as increased redness, swelling, or discharge from the site, contact your healthcare provider immediately. In addition to caring for the insertion site, it’s also important to monitor how your body responds to Nexplanon®. Keep track of any changes in your menstrual cycle or any side effects you may experience.
While many users find that their bodies adjust well over time, if you have persistent issues or concerns about how Nexplanon® is affecting you, don’t hesitate to reach out to your healthcare provider for advice and support.
When and how to remove Nexplanon®
Nexplanon® is designed to provide effective contraception for up to three years; however, you may choose to have it removed sooner if you decide you want to become pregnant or switch to another form of birth control. The removal process is similar to insertion but typically takes less time. You should schedule an appointment with your healthcare provider when you are ready for removal.
During the removal procedure, your healthcare provider will again clean the area on your upper arm and may apply a local anesthetic to minimize discomfort. They will then make a small incision in the skin over the Nexplanon® rod and gently pull it out using forceps. After removal, they will close the incision with adhesive strips or stitches if necessary.
You can expect some minor bruising or tenderness at the site afterward, but this usually resolves quickly.
Aftercare and recovery following removal
Once Nexplanon® has been removed, proper aftercare is essential for ensuring a smooth recovery. Similar to after insertion, you should keep the area clean and dry for at least 24 hours post-removal. Avoid strenuous activities or heavy lifting for a few days to allow your body time to heal properly.
If you experience any unusual symptoms such as excessive bleeding or signs of infection at the removal site, contact your healthcare provider promptly. After removal, your fertility may return quickly; many individuals find that they can conceive soon after Nexplanon® is taken out. If you’re considering other forms of birth control after removal, discuss your options with your healthcare provider during your follow-up appointment.
They can help guide you in choosing a method that aligns with your reproductive goals and lifestyle.
Alternative birth control options to consider
If you’re exploring alternatives to Nexplanon®, there are numerous birth control options available that cater to different preferences and lifestyles. Hormonal methods include birth control pills, patches, and injections like Depo-Provera. Each of these methods has its own set of benefits and potential side effects, so it’s essential to discuss them with your healthcare provider.
For those who prefer non-hormonal options, barrier methods such as condoms or diaphragms are effective choices that also provide protection against sexually transmitted infections (STIs). Intrauterine devices (IUDs) are another long-term option; they can be hormonal or copper-based and can remain effective for several years depending on the type chosen. Permanent solutions like sterilization are also available for individuals who are certain they do not want children in the future.
Frequently asked questions about Nexplanon®
As you consider Nexplanon®, you may have several questions regarding its use and effectiveness. One common question is whether Nexplanon® protects against STIs; unfortunately, it does not provide any protection against sexually transmitted infections. Therefore, using condoms in conjunction with Nexplanon® is advisable if STI protection is a concern.
Another frequently asked question pertains to what happens if you miss a scheduled appointment for removal or if it’s left in longer than three years. While it’s generally safe for a short period beyond three years, it’s crucial to consult with your healthcare provider if this occurs. They can assess whether removal is necessary and discuss alternative contraceptive options moving forward.
In conclusion, understanding Nexplanon®—from its mechanism of action to its insertion process and aftercare—is vital for making informed decisions about your reproductive health. By being proactive in discussing any concerns with your healthcare provider and staying informed about alternative options, you can find a birth control method that best suits your needs and lifestyle.
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FAQs
What is Nexplanon® (etonogestrel implant) 68?
Nexplanon® is a small, flexible rod that is inserted under the skin of the upper arm to prevent pregnancy. It releases the hormone etonogestrel, which prevents ovulation and thickens the cervical mucus to block sperm from reaching the egg.
How is Nexplanon® removed?
Nexplanon® can only be removed by a healthcare professional. The area is numbed with a local anesthetic, and then the healthcare provider makes a small incision to locate and remove the implant.
What are the aftercare instructions for Nexplanon® removal?
After Nexplanon® removal, it is important to keep the incision site clean and dry. It is normal to experience some bruising, swelling, or tenderness at the removal site. It is also recommended to avoid heavy lifting or strenuous activity for a few days after removal.
What are the potential side effects of Nexplanon® removal?
Some potential side effects of Nexplanon® removal include bruising, swelling, pain, and scarring at the removal site. In rare cases, the implant may be difficult to locate and remove, requiring additional procedures.
How soon after Nexplanon® removal can I get pregnant?
Fertility typically returns quickly after Nexplanon® removal, and some women may become pregnant within a few weeks. It is important to use another form of contraception if pregnancy is not desired after Nexplanon® removal.
