What to Expect: Nexplanon Insertion

What is Nexplanon?

• Nexplanon is a small rod, a little longer than a matchstick, inserted into the inner upper arm to prevent pregnancy.
• Nexplanon contains progesterone (but no estrogen), which is slowly released into the bloodstream in small amounts.
• The Nexplanon will last for 3 years before removal is necessary.

What should I do before the procedure?

• There is no specific preparation for this procedure.
• Be sure to eat a small meal prior to your appointment.
• It is nice to bring a driver with you, but it is not mandatory.

What should I expect during the procedure?

• Your arm will be cleaned with an iodine solution; you may choose to have the Nexplanon placed in either arm, but we recommend using your non-dominant arm.
• A local numbing medication will be injected into the skin; this feels like a tiny pinprick and stings for a few seconds.
• A needle is used to inject the Nexplanon under the skin.
• A piece of surgical tape will be used to close the incision; no stitching is needed.
• A bandage is applied to your arm.

What should I expect after the procedure?

• Keep the bandage in place for 24 hours to keep pressure on the site.
• Once you remove the bandage, keep the surgical tape in place for 5 days; it may then be removed.
• Do not get the outer bandage wet, but you may shower with the surgical tape in place.
• Some soreness and bruising around the site is normal; you may use Ibuprofen or Tylenol if you have discomfort.
• It is normal to feel the thin rod under your skin.

Thank you for allowing us to provide you with the best medical care!