NEXPLANON: Insertion

Before NEXPLANON is inserted, you may be asked to review and sign a consent form.

NEXPLANON is placed in your arm by a trained health care provider. During the process, your skin is numbed in that area. The applicator guides NEXPLANON under the skin of your arm. This minor surgical procedure is done in your health care provider’s office. Once the implant is placed, you and your health care provider should check that it is in your arm by feeling for it.

Immediately after the insertion, you and your health care provider will feel for NEXPLANON to ensure that it has been placed correctly. If you can’t feel it, contact your health care provider immediately and use a non-hormonal birth control method (such as condoms) until your health care provider confirms that the implant is in place. The implant may not be placed in your arm at all due to a failed insertion. If this happens, you may become pregnant.

Following the insertion, you’ll have to wear a pressure bandage for 24 hours and a small bandage for 3 to 5 days.

The timing of the insertion is important. Your health care provider may:

  • Perform a pregnancy test before inserting NEXPLANON
  • Schedule the insertion at a specific time of your menstrual cycle (for example, within the first 5 days of your regular menstrual bleeding). If the implant is placed after the fifth day of menses, then you should use an additional contraceptive method (such as a condom) for the first 7 days after insertion.

You will 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 your 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.


A trained health care provider can remove NEXPLANON at any time during the 3-year period. Removal of NEXPLANON involves a minor surgical procedure in which your health care provider makes a small incision in your arm where NEXPLANON is located.


NEXPLANON is a prescription medication for the prevention of pregnancy in women.


You are encouraged to report negative side effects of prescription drugs to the FDA. Visit or call 1-800-FDA-1088.

Please read the accompanying Patient Information for NEXPLANON and discuss it with your health care provider. The physician Prescribing Information also is available.


This site is intended only for residents of the United  States, its territories, and Puerto Rico. Copyright © 2019  Merck Sharp & Dohme B.V., a  subsidiary of  Merck & Co., Inc. All rights reserved.  US-XPL-00813 10/19 US-XPL-00813 10/19

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