Did you know that the most reliable contraceptive method currently on the market is the contraceptive implant?

This small subcutaneous device has been used in France since 1999 under the name Implanon. Its North American version, Nexplanon, was approved by Health Canada in May 2020.
You’re intrigued, aren’t you?

• Are you looking for a reliable method of contraception?
• Do you suffer from migraine with aura or have other reasons that prevent you from using combined hormonal contraception (estrogen and progestin)?
• Do you prefer not to have an intrauterine device (IUD) inserted or undergo a gynecological exam?
• Do you want to stop worrying about taking a pill at the same time every day?
• Are you over 35 and a smoker?
• Are you breastfeeding?

• Do you want an effective method of contraception but also desire a quick return to fertility when you’re ready?

The contraceptive implant is probably a good choice for you.

Nexplanon is a small rod measuring 4 cm in length and 2 mm in width, made of soft and flexible plastic. It is inserted under local anesthesia just beneath the skin on the inside of the upper arm. It is therefore invisible to the eye but can be easily felt.
It continuously and steadily releases etonogestrel into your bloodstream, a type of progestin that has also been used for years in the NuvaRing contraceptive ring. It does not contain estrogen, making it a good option if estrogen is contraindicated. This contraceptive works by preventing ovulation. Additionally, it thickens the cervical mucus, making it harder for sperm to reach the uterus.

Good news!
It is covered by RAMQ and various group insurance plans.

No specific gynecological exam is required before insertion.
Additionally, the failure rate for both typical and perfect use is 0.05%.
Unlike oral contraceptives, you can’t forget to take it, and unlike a ring, patch, or IUD, you can’t lose it.
It can be removed at any time through a minor surgical procedure, and fertility can return as quickly as within a week. Since the implant does not dissolve, it must be removed after a maximum of 3 years.
A new device can be inserted in the same spot if you wish to continue using it. No worries—it is radiopaque (detectable by X-ray) and cannot “get lost” in the fatty tissue.

For most women, Nexplanon will not improve bleeding patterns. In fact, only 22% of women using Nexplanon experience a complete stop of menstruation. However, menstrual cramps and premenstrual symptoms may decrease. Like all contraceptive methods except condoms, it does not protect against sexually transmitted infections.

Nexplanon is contraindicated in cases of pregnancy, bleeding disorders, active breast cancer, or liver disease. It can be inserted one month after childbirth and is suitable for breastfeeding individuals.

After insertion, pain and bruising at the insertion site are normal. Reported side effects include irregular bleeding in the first few months, which is a normal body response when starting a contraceptive. Also, progestin can be associated in some people with acne, breast tenderness, mood swings, and headaches.

So, when shall we schedule your appointment?

References:
https://www.organon.com/canada-en/wp-content/uploads/sites/5/2021/05/NEXPLANON-CI_E.pdf
https://www.sexandu.ca/contraception/hormonal-contraception/#tc6