From the side view, the insertion site and the movement of the needle just under the skin can be clearly visualized.For illustrative purposes, Figures depict the left inner arm.Figure 2c: Cross section of the upper left arm, as viewed from the elbowDo not touch the purple slider until you have fully inserted the needle subdermally, as doing so will retract the needle and prematurely release the implant from the applicator.Step 9. Make two marks with a surgical marker: first, mark the spot where the etonogestrel implant will be inserted, and second, mark a spot at 5 centimeters (2 inches) proximal (toward the shoulder) to the first mark (Figure 2a and 2b). You should see the white colored implant by looking into the tip of the needle. 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.Tell your healthcare provider if you have or have had any of the conditions listed above. A small amount of the hormone contained in Nexplanon passes into your breast milk.
Follow your doctor's instructions.You may have irregular and unpredictable periods while using Nexplanon. If you are unsure of the necessary steps to safely insert and/or remove Nexplanon, do not attempt the procedure.To help make sure the implant is inserted just under the skin, the healthcare providers should be positioned to see the advancement of the needle by viewing the applicator from the side and not from above the arm. Nexplanon should be removed in the event of a thrombosis.Due to the risk of thromboembolism associated with pregnancy and immediately following delivery, Nexplanon should not be used prior to 21 days postpartum. In addition, pregnancies were observed to occur as early as 7 to 14 days after removal. Certain medicines may make Nexplanon less effective, including:Ask your healthcare provider if you are not sure if your medicine is one listed above.If you are taking medicines or herbal products that might make Nexplanon less effective, you and your doctor may decide to leave Nexplanon in place; in that case, an additional non-hormonal contraceptive should be used. The efficacy of Nexplanon does not depend on daily, weekly or monthly administration.All healthcare providers should receive instruction and training prior to performing insertion and/or removal of Nexplanon.A single Nexplanon implant is inserted subdermally just under the skin at the inner side of the non-dominant upper arm. A contraceptive implant is a flexible plastic rod about the size of a matchstick that is placed under the skin of the upper arm.It releases a low, steady dose of a progestational hormone to thicken cervical mucus and thin the lining of the uterus (endometrium). Based on the findings of this study, during the first months after insertion of IMPLANON, when maternal blood levels of etonogestrel are highest, about 100 ng of etonogestrel may be ingested by the child per day based on an average daily milk ingestion of 658 mL. Clean the skin from the insertion site to the guiding mark with an antiseptic solution.Step 6. If the implant tip is not exposed following blunt dissection, make an incision into the tissue sheath and then remove the implant with the forceps (Figures 14 and 15).Step 7.
This information does not take the place of talking with your healthcare provider. Once the healthcare professional has located the implant, it should be removed.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. For the non-radiopaque etonogestrel implant (IMPLANON), the mean (± SD) maximum serum etonogestrel concentrations were 1145 (± 577) pg/mL and were reached within the first two weeks after insertion (n=53). Based on When an implant is removed, it is important to remove it in its entirety A woman who is using Nexplanon should have a yearly visit with her healthcare provider for a blood pressure check and for other indicated health care.Sex hormone-binding globulin concentrations may be decreased for the first six months after Nexplanon insertion followed by gradual recovery.
Nexplanon should be inserted as follows:If inserted as recommended, back-up contraception is not necessary.
Using a condom is the only way to protect yourself from these diseases.warmth, redness, swelling, or oozing where the implant was inserted;severe pain or cramping in your pelvic area (may be only on one side);increased blood pressure - severe headache, blurred vision, pounding in your neck or ears;This is not a complete list of side effects and others may occur. After the implant is removed, your ability to get pregnant will return quickly.
If you smoke and want to use Nexplanon, you should quit.
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