Implanon NXT

Long-term contraception with the hormone implant Implanon

One method of long-term hormonal contraception is to insert a contraceptive implant. In Germany it is sold under the name Implanon NXT, in other countries Nexplanon. It is a plastic rod about the size of a match that is placed under the skin of the upper arm. It is a very safe, hormonal contraceptive method. The correct application is very important. If you want long-term contraception with Implanon, then Dr. Möller is qualified to insert the contraceptive "rod" in Munich. As with all hormone-based procedures, there are risks and contraindications preventing usage of Implanon. This will be discussed with you in a counseling session. Alternatively, hormone-free contraceptive methods or other hormonally active products can be used. You can also find an overview of all contraceptive methods on our homepage. You can also watch a short hormone implant summary video.

How does the hormone implant work?

The hormone implant is placed directly under the skin of the upper arm and remains there for about 3 years. Implanon NXT releases Etonolgestrel and basically acts like a mini pill with the corresponding advantages and disadvantages. However, there are fewer errors in use: there is no need to think about regular intake and vomiting or diarrhea do not affect the contraceptional effect.

Langzeitverhütung mit Implanon — Implanon NXT courtesy of MSD SHARP & DOHME GmbH

HOW IS THE IMPLANT INSERTED AND EXPOSED?

Before the insertion, a consultation is required to clarify whether the patient has specific risk factors that conflict with the use of Implanon NXT or etonogestrel-based contraceptive products.

The insertion itself is carried out under local anesthesia using a special applicator. The position of the rod is then checked using ultrasound. The cut where the implant was placed under the skin is approx. 2 mm long. Due to the small incision size, no scars remain with normal healing.

Implanon is effective for around 3 years. Then the rod is removed under local anesthesia using special pliers. In rare cases or with a strong weight gain, the implant can "wander". In this case, the removal must be done surgically.

Summary

How it works

The contraceptive implant is a small plastic rod and contains a depot with etonogestrel, which mainly inhibits ovulation. The implant is inserted under the skin on the inner aspect of the upper arm. The implant lasts for three years at which point it has to be removed or can be replaced by the gynecologist if desired.

Advantages

Very effective contraception over a long period of time. No estrogen deficiency that endangers bone health.

Side effects

Bleeding disorders, weight gain can occur. "Walking" of the stick inwards when weight increases with the resulting difficult removal is possible.

Effectiveness

Very high effectiveness with a Pearl-Index of 0.1.

Certificate Implanon NXT — Certificate Deposit and removal training Implanon NXT Eigene Darstellung

Contraceptive Implanon Munich — Contraception with Implanon iStockphoto.com // kieferpix

related links

The Pearl Index (named after the American scientist Raymond Pearl) is the measure of the safety of contraceptives: the smaller the Pearl Index, the safer the method of contraception. If 100 women use the same contraceptive for one year and three pregnancies occur during this period, the Pearl Index is 3. A Pearl Index of 0.1 means that one in 1000 women who use the same contraceptive for one year , gets pregnant. The Pearl Index measures the security of the process itself and the susceptibility to errors of the application.

Raymond Pearl Erfinder des Pearl Index — Raymond Pearl
Library of Congress // ggbain 12452

Bildquellen:

Zertifikat Implanon: Bildrechte bei Dr. F. Möller
Bodycare Gynäkologie und die Gesundheit der Frau: iStock // Deagreez
Raymond Pearl: George Grantham Bain Collection (Library of Congress)