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Birth control implant8/3/2023 If you choose, a new device can be implanted as soon as the original device is removed. Contraceptive implant removal typically takes less than five minutes. Your health care provider will then pull out the implant, close the incision and apply a pressure bandage. They will make a small incision in your skin and will push the implant toward the incision until the tip is visible and can be grasped with forceps. To remove the device, your health care provider will inject a local anesthetic in your arm beneath the implant. Have regular physical exams and mammograms, and self-examine your breasts for lumps on a monthly basis while using this medicine.Ĭall your doctor at once if it feels like the Nexplanon implant may be bent or broken while it is in your arm. Any doctor or surgeon who treats you should know that you have a Nexplanon implant. If you need major surgery or will be on long-term bed rest, or if you need medical tests, may need to have your Nexplanon implant removed for a short time. Tell your doctor if your periods are very heavy or long-lasting, or if you miss a period (you may be pregnant). You may have irregular and unpredictable periods while using Nexplanon. If the implant is placed correctly, you will not need to use back-up birth control. The Nexplanon implant can remain in place for up to 3 years. Tell your doctor if you cannot feel the implant at any time while it is in place. You should be able to feel the implant under your skin. For more information about how quickly it works as a contraceptive see dosing information below. The timing of when you receive the Nexplanon implant depends on whether you were using birth control before, and what type it was. Remove the top bandage after 24 hours, but leave the smaller bandage on for 3 to 5 days. After the implant is inserted, your arm will be covered with 2 bandages. Nexplanon is inserted through a needle (under local anesthesia) into the skin of your upper arm, just inside and above the elbow. Related/similar drugs norethindrone, levonorgestrel, medroxyprogesterone, Depo-Provera, Provera, Mirena How is the Nexplanon implant used? The implant is made of a material that can be seen on X-rays and sometimes your health provider may use an X-ray to help locate it for removal. It does this by stopping the release of an egg from your ovary, thinning the lining of your uterus and thickening mucus in your cervix. The rod contains a hormone called etonogestrel that slowly and steadily releases to prevent pregnancy. Nexplanon can be removed at any time and your fertility will return to normal. Once you have it placed in your arm you don’t need to think about contraception for the next three years, you don’t need to worry about forgetting to take it, whether you have used it correctly and there is no need to interrupt sex to organise contraception. It is a contraceptive implant that is a flexible, thin plastic rod that is about the length of a matchstick (4cm by 2mm), which is placed under the skin on the inner side of the upper arm by your doctor or other healthcare provider. Nexplanon (etonogestrel implant) is a long-term, reversible birth control for women. Medically reviewed by Melisa Puckey, BPharm.
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