Nexplanon - Gynecology

What is Nexplanon?

Nexplanon is a type of long-acting reversible contraceptive (LARC). It is a small, flexible rod about the size of a matchstick that is inserted under the skin of a woman's upper arm. The rod releases a hormone called etonogestrel to prevent pregnancy.

How Does Nexplanon Work?

Nexplanon releases a small, steady amount of etonogestrel, a type of progestin. This hormone works in several ways to prevent pregnancy: it thickens the cervical mucus to block sperm, inhibits ovulation, and thins the uterine lining to prevent implantation of a fertilized egg.

Who Can Use Nexplanon?

Nexplanon may be suitable for women seeking a long-term, reversible contraception option. It is particularly beneficial for those who may have difficulty remembering to take a daily pill. However, it is not recommended for women with certain health conditions such as liver disease, unexplained vaginal bleeding, or a history of breast cancer.

How is Nexplanon Inserted and Removed?

The insertion of Nexplanon is a minor procedure that can be done in a doctor’s office. The area of the arm where the implant will be placed is numbed with a local anesthetic, and the device is inserted just under the skin using a special applicator. Removal is similarly a minor procedure, involving a small incision to take out the implant.

What are the Benefits of Using Nexplanon?

Nexplanon is over 99% effective at preventing pregnancy. It is a convenient option that lasts for up to three years, eliminating the need for daily, weekly, or monthly contraceptive measures. It can also be used by women who cannot take estrogen-based contraceptives.

What are the Potential Side Effects?

Some women may experience side effects such as irregular bleeding, headaches, weight gain, acne, and breast tenderness. Over time, many women find that their bleeding patterns become lighter and more regular. Serious side effects are rare but can include blood clots, liver disease, and severe allergic reactions.

How Effective is Nexplanon?

Nexplanon is one of the most effective forms of contraception, with a failure rate of less than 1%. This means that fewer than 1 out of 100 women who use Nexplanon will become pregnant each year.

Can Nexplanon Affect Future Fertility?

Nexplanon does not have a long-term impact on fertility. Most women return to their normal menstrual cycles and fertility soon after the implant is removed.

What Should You Consider Before Getting Nexplanon?

Before deciding on Nexplanon, consider discussing your medical history and any potential risk factors with your healthcare provider. It's also important to consider how comfortable you are with the idea of a minor surgical procedure for insertion and removal.

Frequently Asked Questions

How soon after insertion does Nexplanon start working? If inserted during the first five days of your menstrual cycle, Nexplanon is effective immediately. Otherwise, use an additional form of contraception for the first seven days.
Can Nexplanon be used while breastfeeding? Yes, Nexplanon is considered safe for use while breastfeeding.
What should I do if I experience severe side effects? Contact your healthcare provider immediately if you experience severe side effects such as signs of a blood clot, jaundice, or severe allergic reactions.

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