How Supplied/storage And Handling
Nexplanon is supplied as follows:
One Nexplanon package consists of a single implant containing 68 mg etonogestrel, 15 mg of barium sulfate and 0.1 mg of magnesium stearate that is 4 cm in length and 2 mm in diameter, which is pre-loaded in the needle of a disposable applicator. The sterile applicator containing the implant is packed in a blister pack.
How Well Do They Work
When used exactly as directed, the pill is very effective. What does that mean?
For the pill, it means you take it at the same time every day. This is sometimes called perfect use. If you do that, you have less than a 1 in 100 chance of getting pregnant in the next year.
But if you miss a day or two or take the pill it at different times of day, the pill becomes about 91% effective.
Once your doctor places the rod in your arm, youâre done. This low-maintenance birth control method provides a less than 1 in 100 chance of getting pregnant in the next year.
What Are The Side Effects Of Nexplanon
Nexplanon is associated with common side effects, infrequent side effects, and rare side effects that are both mild and severe in expression. Common side effects linked to Nexplanon generally do not require medical attention and tend to lessen or disappear as a patients body adjusts to the implant.
Common side effects associated with Nexplanon that tend to have a mild expression include:
- Breast tenderness
- Hepatitis, or inflammation of the liver
- Pneumonia with a high number of eosinophil white blood cells
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Who Can Use Implantable Contraception
Girls who want long-term protection against pregnancy may be interested in implantable contraception.
Not all women can or should use the implant. Some health conditions make it less effective or more risky to use. The implant is not recommended for those who have had:
- blood clots
- unexplained vaginal bleeding
- some types of cancer
Girls who have diabetes, migraine headaches, depression, high cholesterol, high blood pressure, gallbladder problems, seizures, kidney disease, or other medical problems should talk with their doctor.
Anyone who thinks she might be pregnant should not have a contraceptive implant inserted.
Carcinoma Of The Breast And Reproductive Organs
Women who currently have or have had breast cancer should not use hormonal contraception because breast cancer may be hormonally sensitive . Some studies suggest that the use of combination hormonal contraceptives might increase the incidence of breast cancer; however, other studies have not confirmed such findings.
Some studies suggest that the use of combination hormonal contraceptives is associated with an increase in the risk of cervical cancer or intraepithelial neoplasia. However, there is controversy about the extent to which these findings are due to differences in sexual behavior and other factors.
Women with a family history of breast cancer or who develop breast nodules should be carefully monitored.
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If You’re Under 16 Years Old
Contraception services are free and confidential, including for people under the age of 16.
If you’re under 16 and want contraception, the doctor, nurse or pharmacist won’t tell your parents as long as they believe you fully understand the information you’re given, and your decisions.
Doctors and nurses work under strict guidelines when dealing with people under 16. They’ll encourage you to consider telling your parents, but they won’t make you.
The only time a professional might want to tell someone else is if they believe you’re at risk of harm, such as abuse. The risk would need to be serious, and they would usually discuss this with you first.
Page last reviewed: 9 March 2021 Next review due: 9 March 2024
How Is Implanon Implanted
Insertion of Implanon is a relatively quick and painless procedure that may be performed in your doctors office. Implanon is typically inserted under the skin of the upper arm using a special applicator. The arm is first sterilized and a local anesthetic may be used prior to insertion of the Implanon rod.
Once insertion is complete, the patient will receive a User Card indicating the specific date of implantation, as well as the date during which the implant should be removed. The Implanon rod may be removed at any point prior to this date upon request.
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How Do You Get It
A person needs to visit a doctors office to have the flexible tube inserted into their upper arm. People interested in having a Nexplanon implant should make sure that the doctor has experience in performing the procedure.
During the procedure, the doctor will make a small incision with a tool designed to insert Nexplanon. The procedure only takes a few minutes and does not require any downtime.
The doctor can insert the device at the same time as they remove an old one. To remove the device, they will administer a local anesthetic to the area, make a small incision underneath the implant, and grip the device with forceps to gently pull it out.
A range of healthcare professionals and birth control services offer Nexplanon and other contraceptive options online.
How Does Implanon Work
Implanon contraception is a hormonal birth control that requires implantation of a small rod under the skins surface, which may remain in the body for up to three years, providing continuous protection against pregnancy.
Implanon contraceptive implants are made of soft medical polymer that is approximately 1.5 inches long and 0.08 inches wide. An Implanon rod contains 68mg of etonogestrel, a progestin hormone similar to natural progesterone. These hormones are steadily released into the body daily, beginning with 60-70 micrograms during the first year after implantation, and gradually decreasing to a daily dose of 25 micrograms during the final year.
Like birth control pills, the Implanon contraception method works to prevent pregnancy by increasing these hormone levels in order to stop ovulation. Similar to other hormonal birth control methods, in addition to stopping ovulation, Implanon alters cervical mucus to inhibit sperm from reaching an egg and additionally changing the uterine wall so as to prevent the successful implantation necessary for a fertilised egg.
What Other Drugs Will Affect Nexplanon
Certain other medicines or herbal products may make etonogestrel less effective, which could result in pregnancy. You may need to use a non-hormonal form of back-up birth control while you are taking certain medicine, and for up to 28 days after stopping the medicine.
Tell your doctor about all your current medicines and any other medicines you start or stop using, especially:
How To Use Nexplanon Implant
Read the Patient Information Leaflet provided by your pharmacist or health care provider before the rod is placed. Read and sign the Informed Consent provided by your doctor. You will also be given a User Card with the date and the place on your body where the rod was inserted. Keep the card and use it to remind yourself when to schedule an appointment to have the rod removed. If you have any questions, ask your doctor or pharmacist.
Ask your doctor about the best time to schedule your appointment to have the rod placed. Your doctor may want you to have a pregnancy test first. The medication usually starts working right away when the rod is inserted during the first 5 days of your period. If your appointment is at another time in your menstrual cycle, you may need to use a non-hormonal form of birth control for the first 7 days after the rod is placed. Ask your doctor about whether you need back-up birth control.
The rod will be inserted under the skin in your upper arm by a health care professional. Usually it will be placed in the arm that you do not write with. Be sure you can feel the rod underneath your skin after it has been placed. If at any time you cannot feel the rod underneath the skin or feel that the rod has been bent or broken, tell your doctor right away.
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Will Other Medicines Affect The Implant
Some medicines can make the implant less effective, such as:
- medicines for HIV, epilepsy and tuberculosis
- complementary remedies, such as St John’s Wort
- some antibiotics, such as rifabutin or rifampicin
If you’re taking any of these medicines, you’ll need additional contraception , or you may wish to use a different method of contraception that isn’t affected by your medicine.
Always tell your doctor that you’re using an implant if you’re prescribed any medicine. You can also ask them whether the medicine you’re taking will affect the implant.
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Complications Of Insertion And Removal
Nexplanon should be inserted subdermally so that it will be palpable after insertion, and this should be confirmed by palpation immediately after insertion. Failure to insert Nexplanon properly may go unnoticed unless it is palpated immediately after insertion. Undetected failure to insert the implant may lead to an unintended pregnancy. Complications related to insertion and removal procedures, such as pain, paresthesias, bleeding, hematoma, scarring or infection, may occur.
If Nexplanon is inserted deeply , neural or vascular injury may occur. To help reduce the risk of neural or vascular injury, Nexplanon should be inserted subdermally just under the skin at the inner side of the non-dominant upper arm overlying the triceps muscle about 8-10 cm from the medial epicondyle of the humerus and 3-5 cm posterior to the sulcus between the biceps and triceps muscles. This location is intended to avoid the large blood vessels and nerves lying within and surrounding the sulcus. Deep insertions of Nexplanon have been associated with paresthesia , migration of the implant , and intravascular insertion. If infection develops at the insertion site, start suitable treatment. If the infection persists, the implant should be removed. Incomplete insertions or infections may lead to expulsion.
Implant removal may be difficult or impossible if the implant is not inserted correctly, is inserted too deeply, not palpable, encased in fibrous tissue, or has migrated.
Advantages And Disadvantages Of The Implant
- it works for 3 years
- it doesn’t interrupt sex
- it’s an option if you can’t use oestrogen-based contraception, such as the combined contraceptive pill, contraceptive patch or vaginal ring
- it’s safe to use while you’re breastfeeding
- your fertility will return to normal as soon as the implant is taken out
- it may reduce;heavy periods or;period pain
- you may experience temporary side effects during the first few months, like headaches, nausea, breast tenderness and mood swings
- your periods may be irregular or stop altogether
- you may get acne or your acne might get worse
- you’ll need a small procedure to have it fitted and removed
- it doesn’t protect you against sexually transmitted infections , so you may need to use additional contraception as well
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What Is The Procedure Like
Before the procedure:;You will be asked to read and sign a consent form which gives your health care provider permission to insert the hormonal implant.
The procedure:;Your upper arm is cleaned with a special soap. Numbing medicine is then injected just under the skin of your upper arm to lessen the discomfort. Next, using a special tool, your health care provider pushes the implant through a needle under the skin. This is a minor procedure that takes less than 5 minutes with minimal discomfort.
After the hormonal implant is inserted:;Your health care provider will go over home-care instructions with you and will cover the site with 2 bandages. The top bandage can be removed in 24 hours. The smaller bandage can be changed to a new one each day. The insertion site should be kept covered for about 3-5 days. This will keep the site clean and dry as it heals.
Nexplanon Side Effects: What Are They And Can They Be Avoided
Women who want to prevent pregnancy but would prefer not to take an oral contraceptive every day have more options now than ever before.
Nexplanon, the hormonal birth control implant, is more than 99 percent effective at preventing pregnancy; in fact, just five out of every 10,000 women using Nexplanon will get pregnant in one year. Nexplanon can prevent pregnancy for up to five years, and theres no risk of forgetting to take it or using it incorrectly.
An estimated 10.3 percent of women between the ages of 15 and 49 use long-acting reversible contraception, such as intrauterine devices or contraceptive implants like Nexplanon, and while these types of hormonal contraception are popular, they are associated with some unpleasant side effects.
What are the side effects of Nexplanon and can they be avoided?
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How Does Implantable Contraception Work
The implanted tube slowly releases low levels of the hormone to prevent . If a girl doesn’t ovulate, she can’t get pregnant because there is no egg to be fertilized.
The released progestin also thickens the mucus around the cervix. This makes it hard for sperm to enter the uterus and reach any eggs that may have been released. The progestin also thins the lining of the uterus so an egg will have a hard time attaching to the wall of the uterus.
Broken Or Bent Implant
There have been reports of broken or bent implants, which may be related to external forces while in the patients arm. There have also been reports of migration of a broken implant fragment within the arm. Based on in vitro data, when an implant is broken or bent, the release rate of etonogestrel may be slightly increased.
When an implant is removed, it is important to remove it in its entirety .
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How To Prepare For The Procedure
The health care provider evaluates the womans overall health before inserting the implant. They will determine the correct timing for insertion based on previous birth control and menstrual cycle.;
A woman may need to take a pregnancy test and be on a non-hormonal backup contraceptive for a week. A backup is not required if the woman previously:
- Did not use any contraception and had the contraceptive implant put into her body in the first five days of the menstrual cycle, even when they were bleeding.
- Used a mini-pill and had the implant inserted while she was on the pill.
- Had used a combination of contraceptives like a vaginal ring, birth control patch, birth control pills.;
- Also, if she had the implant inserted within seven days of the beginning of the hormone-free period.
- Took a contraceptive injection and then had the implant added when the next injection was due.
- Previously used an IUD or another contraceptive and then had the Nexplanon inserted after the removal of an old device .
Before the insertion, the woman may need to sign a consent form.
At A Glance: The Implant
- The implant is more than 99% effective.
- Once the implant is in place, you don’t have to think about it again for 3 years.
- It can be useful for women who can’t use contraception that contains oestrogen.
- It’s very useful for women who find it difficult to remember to take a pill at the same time every day.
- The implant can be taken out if you have side effects.
- You can have it removed at any time, and your natural fertility will return very quickly.
- When it’s first put in, you may feel some bruising, tenderness or swelling around the implant.
- Your periods may become irregular, lighter, heavier or longer.
- A common side effect is that your periods stop . It’s not harmful, but you may want to consider this before deciding to have an implant.
- Some medicines can make the implant less effective.
- It doesn’t protect against sexually transmitted infections , so you may need to use condoms as well.
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Where Can I Get Implantable Contraception
Implantable contraception is only available from a doctor or other medical professional who has been trained to insert it. When the doctor can insert the implant depends on when you had your last period and what type of birth control you currently use.
After numbing the inside of your upper arm, the doctor will use a small needle to insert the tube under the surface. The whole process only takes a few minutes. After the tube is in, don’t do any heavy lifting for a few days. You’ll have a bandage on for a few days after the procedure.
A health care professional must remove the tube after 3 years. It cannot be left in a girl’s arm, even after it is no longer working. The health care professional numbs the area, makes a small cut in the arm, and pulls out the tube. The tube can be removed any time after insertion there’s no need to wait the full 3 years.