The Nexplanon insertion process is a relatively straightforward procedure that requires attention to detail and adherence to proper technique to ensure successful placement and minimize potential complications. Nexplanon, a type of etonogestrel implant, is a long-acting reversible contraceptive method that is inserted under the skin of the upper arm. The procedure is typically performed by a healthcare provider in a clinical setting.
Preparation for Insertion
Before the insertion procedure, the healthcare provider will conduct a thorough medical history and perform a physical examination to ensure that the patient is a good candidate for Nexplanon. This includes discussing the patient’s contraceptive needs, reviewing potential side effects, and addressing any questions or concerns the patient may have. It’s also crucial to confirm that the patient is not pregnant at the time of insertion, typically done through a pregnancy test.
Step-by-Step Insertion Procedure
Prepare the Arm: The procedure begins with the healthcare provider identifying the correct insertion site on the patient’s arm. This is typically on the inner side of the upper arm, about 6-8 cm (2.5 to 3 inches) above the elbow crease, and slightly towards the back of the arm compared to the front.
Clean and Anesthetize the Area: The skin where the implant will be inserted is cleaned with an antiseptic solution. Local anesthesia, usually lidocaine, may be injected into the skin at the insertion site to numb the area, reducing discomfort during the procedure.
Insert the Needle: With the area prepared, the healthcare provider will then insert a pre-loaded applicator containing the Nexplanon implant just under the skin at the marked site. The applicator has a needle that is used to place the implant.
Release the Implant: Once the needle is correctly positioned under the skin, the healthcare provider will release the implant from the applicator. This is done by retracting the needle while keeping the applicator in place, ensuring the implant remains under the skin.
Verify the Implant: After the implant is released, the healthcare provider will feel the area to verify that the implant is in the correct position under the skin. In some cases, an ultrasound may be used to confirm the placement.
Bandage the Arm: The insertion site is then bandaged with a pressure bandage to minimize bruising and swelling. Patients are advised to keep the bandage on for a few days as instructed by their healthcare provider.
Post-Insertion Instructions
- Pain Management: The healthcare provider may prescribe or recommend over-the-counter pain medication to manage any discomfort or pain following the procedure.
- Activity Level: While the insertion site heals, patients are usually advised to avoid heavy lifting, bending, or strenuous activities that could affect the arm or displace the implant.
- Follow-Up: A follow-up appointment is scheduled a few weeks after the insertion to check the implant’s position, ensure proper healing of the insertion site, and address any side effects or concerns the patient may have.
Important Considerations
- Contraceptive Effectiveness: Nexplanon is effective as a contraceptive method immediately if inserted within the first 5 days of menstruation. If inserted at any other time, a backup contraceptive method should be used for 7 days.
- Removal: The implant is approved for use for up to 3 years but can be removed at any time if desired. Removal is also a minor procedure performed by a healthcare provider.
- Potential Side Effects: Common side effects include changes in menstrual bleeding patterns, nausea, headache, and breast tenderness. Less common but more serious side effects can include blood clots, liver tumors, and increased risk of blood clotting.
It’s essential for patients to carefully review and discuss these aspects with their healthcare provider before undergoing the Nexplanon insertion procedure to ensure that they understand the benefits and potential risks associated with this contraceptive method.
How long does the Nexplanon insertion procedure take?
+The Nexplanon insertion procedure typically takes about 15 to 30 minutes. However, preparation time and the time spent discussing the procedure and addressing questions can add to the overall visit time.
Is the Nexplanon insertion painful?
+While local anesthesia is often used to minimize discomfort, some patients may experience a pinch or stinging sensation during the insertion. The level of pain can vary from person to person.
Can I get pregnant after Nexplanon is removed?
+Yes, fertility typically returns quickly after the removal of Nexplanon. Most women can become pregnant within the first month after removal, but it’s recommended to discuss specific plans for conception with a healthcare provider.
Are there any activities I should avoid after getting Nexplanon?
+For a few days after the procedure, it’s recommended to avoid heavy lifting, bending, or activities that may cause strain on the arm where the implant was inserted. This helps minimize bruising and ensures proper healing.
Can anyone get Nexplanon?
+Nexplanon is suitable for most women, but certain medical conditions or medications may affect its suitability. It’s crucial to discuss your medical history and any current medications with your healthcare provider to determine if Nexplanon is the right choice for you.
