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 top 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 cannot feel the implant immediately after insertion, the implant may not have been inserted, or it may have been inserted deeply. A deep insertion may cause problems with locating and removing the implant. Once the healthcare professional has located the implant, removal may be recommended.
If at any time you cannot feel the NEXPLANON implant, contact your healthcare provider immediately and use a non-hormonal birth control method (such as condoms) until your healthcare provider confirms that the implant is in place. You may need special tests to check that the implant is in place or to help find the implant when it is time to take it out. If the implant cannot be found in the arm after a thorough search, your healthcare professional may use x-rays or other imaging methods on your chest.
Depending on the exact position of the implant, removal may be difficult and may require surgery.
You will be asked to review and sign a consent form prior to inserting the NEXPLANON implant. You will also get a USER CARD to keep at home with your health records. Your healthcare 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 your healthcare 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.
Location and removal of the implant may be 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.
Implants have been found in the pulmonary artery (a blood vessel in the lung). If the implant cannot be found in the arm, your healthcare professional may use x-rays or other imaging methods on the chest. If the implant is located in the chest, surgery may be needed.
Other problems related to insertion and removal are:
Call your health care provider right away if you have:
If at any time you or your healthcare provider cannot feel the NEXPLANON implant, use a non-hormonal birth control method (such as condoms) until your healthcare provider confirms that the implant is in place. You may need special tests to check that the implant is in place or to help find the implant when it is time to take it out. If the implant cannot be found in the arm after a thorough search, your healthcare professional may use x-rays or other imaging methods on your chest.
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: