Nexplanon: Contraceptive Implant
Nexplanon is a highly effective and convenient birth control implant that offers long-term protection against pregnancy. This article will explore how it works, when it starts to be effective, the process for fitting or removing the implant, and more.
For more information, be sure to book a consultation with our specialists at Maiden Lane Medical in Manhattan, New York, and the surrounding area!
SARAH M.
How Does Nexplanon Work?
Nexplanon is a small, flexible rod about the size of a matchstick, which is inserted under the skin of your upper arm. It is a type of contraceptive implant that releases a hormone called etonogestrel, a form of progestin, into your bloodstream. This hormone prevents pregnancy by inhibiting ovulation (the release of an egg from the ovaries), thickening the cervical mucus to prevent sperm from reaching the egg, and thinning the lining of the uterus to prevent a fertilized egg from implanting.
This birth control method is known for its reliability, with a success rate of over 99% in preventing pregnancy when properly implanted. Nexplanon provides protection for up to three years, making it a popular choice for women seeking a long-term birth control option.
When Does Nexplanon Start to Work?
Nexplanon’s effectiveness in preventing pregnancy depends on the timing of its insertion. If the implant is inserted within the first five days of your menstrual cycle, it begins to work immediately. If it is inserted at any other time during your cycle, you may need to use an additional form of birth control, such as condoms, for the first seven days after insertion to ensure full protection.
It’s important to discuss your menstrual cycle with your healthcare provider to determine the best time for insertion, ensuring that Nexplanon starts to work as soon as possible. If you have concerns about whether the implant is working correctly, your healthcare provider may recommend a pregnancy test to rule out any doubts.
How is a Contraceptive Implant Fitted or Removed?
The process of fitting Nexplanon is relatively simple and quick. During the procedure, your healthcare provider will numb the area of your upper arm with a local anesthetic. The implant is then inserted just under the skin using a special applicator. The entire process takes only a few minutes, and most women report minimal discomfort.
Removal of the implant is also straightforward. The healthcare provider will again numb the area with a local anesthetic, make a small incision, and gently pull out the implant. This procedure typically takes a little longer than the insertion but is generally well-tolerated.
Both procedures are done in an outpatient setting, and you can resume most normal activities immediately afterward. However, it’s recommended to avoid heavy lifting or strenuous activity with the affected arm for a short period.
Etonogestrel Implant
Advantages and Disadvantages of Nexplanon
Listed below are some of the advantages and disadvantages of Nexplanon.
Advantages
- Highly Effective: Nexplanon is over 99% effective in preventing pregnancy, making it one of the most reliable birth control methods available.
- Long-Lasting: Once inserted, Nexplanon provides protection for up to three years, offering a “set it and forget it” convenience.
- No Daily Maintenance: Unlike birth control pills, which require daily attention, Nexplanon works continuously without any effort on your part.
- Reversible: If you decide you want to become pregnant or switch birth control methods, the implant can be removed at any time, and your fertility will return quickly.
- Discreet: The implant is hidden under the skin of your upper arm, making it a private and discreet birth control method.
Disadvantages
- Menstrual Changes: While most patients have lighter or no periods while on Nexplanon, a large number of patients will experience changes in their menstrual bleeding patterns. This can include irregular periods, spotting between periods, or even the absence of periods. While some may appreciate the reduction in menstrual bleeding, others may find the unpredictability inconvenient.
- Side Effects: Like all hormonal birth control methods, Nexplanon can cause side effects. Some women report headaches, changes in weight, breast tenderness, or mood changes. It’s essential to discuss potential side effects with your healthcare provider.
- Unexplained Vaginal Bleeding: Although rare, some women may experience unexplained vaginal bleeding with the use of Nexplanon. If this occurs, it’s important to consult with your healthcare provider to rule out other causes.
- Requires a Medical Professional for Insertion and Removal: Unlike some birth control methods that you can manage yourself, Nexplanon requires a visit to your healthcare provider for both insertion and removal.
- Does Not Protect Against Sexually Transmitted Infections (STIs): Nexplanon does not offer protection against sexually transmitted infections, so additional protection, such as condoms, should be used to reduce the risk of STIs.
- Breast Cancer Considerations: Women with a history of breast cancer should discuss the use of Nexplanon with their healthcare provider. The hormones in contraceptive implants can affect breast cancer risk, so it’s crucial to evaluate this factor in your decision-making process.
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Will Other Medicines Affect Nexplanon?
Certain medications and herbal supplements can reduce the effectiveness of Nexplanon, potentially leading to an unintended pregnancy. These include some epilepsy medications, certain antibiotics, and St. John’s Wort, among others.
If you are prescribed any new medication or are considering taking an over-the-counter supplement, it’s crucial to inform your healthcare provider that you have a Nexplanon implant. They can advise whether additional contraceptive measures are necessary.
Where Can I Get Nexplanon Fitted or Removed?
If you’re considering Nexplanon as your birth control method or need to have it removed or replaced, Maiden Lane Medical in New York City is here to help. Our experienced gynecologists offer personalized consultations to determine if Nexplanon is the right option for you.
Making an Informed Decision About Nexplanon
Nexplanon is a highly effective and convenient birth control implant that offers long-term protection with minimal maintenance. While it has numerous advantages, including its effectiveness and longevity, it’s important to consider potential side effects, interactions with other medications, and specific health considerations like a history of breast cancer. At Maiden Lane Medical, our experienced gynecologists are here to help you make the best choice for your health and lifestyle.
If you’re interested in learning more about Nexplanon or need assistance with any other women’s health issues, schedule an appointment with Maiden Lane Medical today. With our expert care and convenient NYC locations, we’re here to support your health every step of the way. Contact us today!
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