Whether you're looking for general information about NEXPLANON or something specific, here are some answers to many common questions. For any additional information, please read through the Patient Information.
Yes, NEXPLANON is over 99% effective, just like the pill, but without the daily hassle. In fact, NEXPLANON is among the most effective forms of birth control available.
The following chart shows the chance of getting pregnant for women who use different methods of birth control. Each box on the chart contains a list of birth control methods that are similar in effectiveness. The most effective methods are at the tip of the chart. The box on the bottom of the chart shows the chance of getting pregnant for women who do not use birth control and are trying to get pregnant.
It is not known if NEXPLANON is as effective in very overweight women because studies did not include many overweight women. If you are very overweight, your health care provider may advise you to replace the implant earlier than 3 years.
Your health care provider will place and remove the NEXPLANON implant in his or her office. The implant is placed just under the skin on the inner side of your upper arm.
The timing of the insertion is important. Your health care provider may:
Immediately after the NEXPLANON implant has been placed, you and your health care provider should check that the implant is in your arm by feeling for it.
If you and your health care provider cannot feel the NEXPLANON implant, use a non-hormonal birth control method (such as condoms) until your health care provider confirms that the implant is in place. You may need special tests to check that the implant is in place or help find the implant when it is time to take it out.
Your health care provider will cover the site where NEXPLANON was placed with 2 bandages. Leave the top bandage on for 24 hours. Keep the smaller bandage clean, dry and in place for 3 to 5 days.
You will be asked to review and sign a consent form prior to inserting the NEXPLANON implant. A consent form is provided for your reference and discussion with your health care provider. You will also get a USER CARD to keep at home with your health records. Your health care provider will fill out the USER CARD with the date the implant was inserted and the date the implant is to be removed. Keep track of the date the implant is to be removed. Schedule an appointment with you health care provider to remove the implant on or before the removal date.
Be sure to have checkups as advised by your health care provider.
The implant may not be placed in your arm at all due to a failed insertion. If this happens, you may become pregnant. Immediately after insertion, and with help from your health care provider, you should be able to feel the implant under your skin. If you can’t feel the implant, tell your health care provider. Removal of the implant may be very difficult or impossible because the implant is not where it should be. Special procedures, including surgery in the hospital, may be needed to remove the implant. If the implant is not removed, then the effects of NEXPLANON will continue for a longer period of time.
Other problems related to insertion and removal are:
Call your health care provider right away if you have:
The need to use a back-up method of contraception depends upon the timing of insertion. Talk to your health care provider about the timing of NEXPLANON insertion. In some situations, you may need to use a non-hormonal birth control method (such as condoms) for seven days after insertion.
In addition, if you and your health care provider cannot feel the NEXPLANON implant after insertion, you will need to use a non-hormonal birth control method (such as condoms) until your health care provider confirms that the implant is in place.
Tell your health care provider about all the medicines you take, including prescription and non-prescription medicines, vitamins and herbal supplements. Certain medicines may make NEXPLANON less effective, including:
Ask your health care provider if you are not sure if your medicine is listed above.
If there are medicines that you have been taking for a long time that make NEXPLANON less effective, tell your health care provider. Your health care provider may remove the NEXPLANON implant and recommend a birth control method that can be used effectively with these medicines.
When you are using NEXPLANON, tell all of your health care providers that you have NEXPLANON in place in your arm.
Do not use NEXPLANON if you:
Tell your health care provider if you have or have had any of the conditions listed above. Your health care provider can suggest a different method of birth control.
In addition, talk to your health care provider about using NEXPLANON if you have: