She has reviewed her contraceptive options and has chosen the subdermal progestin, (etonorgestrol with the trade name Nexplanon), implant for her contraceptive need. A 28-year-old …
If the implant is not removed, then the effects of NEXPLANON will continue for a longer period of time. Removal of the implant may be very difficult or impossible if the implant is not where it should be. The time between periods may vary, and in between periods you may also have spotting.If you become pregnant while using NEXPLANON, you have a slightly higher chance that the pregnancy will be ectopic (occurring outside the womb) than do women who do not use birth control. If this happens, you may become pregnant. Special procedures, including surgery in the hospital, may be needed to remove the implant. _ mL of 1% lidocaine _ withORwithout epinephrine used for subcutaneous anesthesia. To prevent becoming pregnant, begin a non-hormonal birth control method (such as condoms) until your health care provider confirms that the implant is in place. Progestin Rod Implant Insertion Note (PATIENT NAME) comes in today for contraceptive counseling. If at any point after the insertion you do not feel the NEXPLANON implant, contact your health care provider immediately. By clicking on this link, you will be leaving this site.This link will take you to a site outside of Merck & Co., Inc.Merck does not review or control the content of any non-Merck site. This training is conducted by Merck. Other problems related to insertion and removal include pain, irritation, swelling, bruising, scarring, infection, injury to the nerves or blood vessels, and breaking of the implant. The Nexplanon should immediately be palpated to ensure proper placement, and the applicator needle should be examined to verify that the implant has not been retained. Keep track of the date the implant is to be removed. View a live Nexplanon insertion, including counselling, preparation, insertion and post insertion stages. _ mL of 1% lidocaine _ with OR without epinephrine used for subcutaneous anesthesia. You may become pregnant if the implant comes out by itself. Our graduates are empowered to serve with continuity of care in all settings, valuing all peoples. The needle slid in easily.-The applicator was kept in the same position with the needle inserted to its full length. NEXPLANON takes a few minutes to insert in your health care provider’s office.NEXPLANON is inserted in your arm by a trained health care provider through a minor surgical procedure.During the process, the area is numbed, and an applicator gently guides NEXPLANON into place.Immediately after insertion, you and your health care provider will feel for NEXPLANON to ensure that it is correctly located.Perform a pregnancy test before inserting NEXPLANONSchedule the insertion at a specific time of your menstrual cycle (for example, within the first 5 days of your regular menstrual bleeding). Nexplanon Insertion Procedure Note. In studies, one out of ten women stopped using the implant because of an unfavorable change in their bleeding pattern. These medicines will be used when the implant is placed into or removed from your arm.Immediately after the NEXPLANON implant has been placed, you and your health care provider should check that the implant is in your arm by feeling for it. You can go back to normal daily activities immediately after the Nexplanon has been put in. Merck does not endorse and is not responsible for the accuracy, content, practices, or standards of any non-Merck site.Copyright © 2020 Merck Sharp & Dohme B.V., a subsidiary of This site is intended only for residents of the United States, its territories, and Puerto Rico.
In this case, you will not experience the benefits of NEXPLANON, and may become pregnant. It is possible to die from a problem caused by a blood clot, such as a heart attack or stroke. PRE-OP DIAGNOSIS: Patient desires long-term, reversible contraception. Anesthesia confirmed. Refer to the training materials and training video that are provided during the required course to review • The implant can remain under your skin for 3 years. NEXPLANON POST INSERTION INSTRUCTIONS • The implant starts working in 7 days to prevent pregnancy. If you smoke and want to use NEXPLANON, you should quit. Following the insertion, you’ll have to wear a pressure bandage for …
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