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Contraceptive Implant Insertion and Removal.

Bernadatte G Gilbert1

  • 1Department of Family and Community Medicine, Penn State Health Milton S. Hershey Medical Center, 500 University Dr., H154/C1626, Hershey, PA 17033, USA; Penn State Health Medical Group, Nyes Road Family Practice II, 121 Nyes Road, Suite F, Harrisburg, PA 17112, USA.

Primary Care
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PubMed
Summary
This summary is machine-generated.

Nexplanon is the most effective long-acting reversible contraceptive available in the US, primarily working by suppressing ovulation. Fertility rapidly returns after its recommended three-year removal.

Keywords:
Implantable contraceptive deviceLong-acting reversible contraceptionNexplanon

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Area of Science:

  • Contraception and Family Planning
  • Reproductive Health
  • Endocrinology

Background:

  • Nexplanon is the sole contraceptive implant presently accessible in the United States.
  • It functions by inhibiting ovulation, making it a highly effective long-acting reversible contraception (LARC).

Purpose of the Study:

  • To detail the mechanism, efficacy, and management of Nexplanon as a LARC method.
  • To inform healthcare providers about Nexplanon insertion, removal, and common side effects.

Main Methods:

  • Review of Nexplanon's pharmacological action and clinical data.
  • Description of insertion and removal procedures for healthcare providers.

Main Results:

  • Nexplanon is the most effective LARC method, primarily suppressing ovulation.
  • A rapid return to fertility occurs post-removal, which is recommended by the end of year three.
  • The most frequent adverse reaction reported is a change in menstrual bleeding patterns.

Conclusions:

  • Nexplanon offers highly effective, reversible contraception through ovulation suppression.
  • Proper training is mandatory for healthcare providers performing Nexplanon procedures.
  • Office-based insertion and removal are standard procedures, with menstrual changes being the most common side effect.