Nexplanon Placement and Removal

Nexplanon is a small, flexible rod about the size of a matchstick that is inserted under the skin of the upper arm. It releases a steady dose of the hormone etonogestrel to prevent pregnancy. Nexplanon is over 99% effective and provides contraception for up to three years.

How Nexplanon Works

• Releases progestin to prevent ovulation.
• Thickens cervical mucus to block sperm from reaching an egg.
• Thins the uterine lining to prevent implantation of a fertilized egg.

Benefits of Nexplanon

• Highly effective (over 99% success rate).
• Long-lasting protection for up to 3 years.
• Low maintenance – no daily reminders.
• Quick return to fertility after removal.
• Reduces menstrual cramps and lightens periods in some users.

Nexplanon Placement Procedure

• Consultation: Your doctor will review your medical history and explain the procedure.
• Procedure:
  • The upper arm is cleaned and numbed with a local anesthetic.
  • The doctor uses a special applicator to insert the rod under the skin.
  • The entire procedure takes about 5 minutes.
• Aftercare: Mild bruising and tenderness may occur at the insertion site.

Nexplanon Removal Procedure

• Procedure:
  • The doctor numbs the skin around the implant.
  • A small incision is made to remove the rod.
  • The procedure takes about 5–10 minutes.
• Replacement Option: A new Nexplanon can be inserted immediately after removal if desired.

Possible Side Effects and Risks

• Irregular bleeding or spotting, especially in the first 6 months.
• Weight gain, mood changes, and headaches.
• Increased acne in some cases.
• Breast tenderness.
• Pain or infection at the insertion site.
• Rare migration of the implant under the skin.

When to Contact Your Doctor

• Severe pain, swelling, or redness at the insertion site.
• Signs of infection (fever, pus, warmth).
• Sudden heavy bleeding or missed periods after regular cycles.
• Suspected pregnancy (rare but possible).
• Inability to feel the implant under the skin.