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This product is a small, thin plastic rod that is inserted under the skin to prevent pregnancy. The rod slowly releases etonogestrel into the body over a 3-year period. Etonogestrel is similar to a natural hormone made in your body. It works mainly by preventing the release of an egg (ovulation) during your menstrual cycle. It also makes vaginal fluid thicker to help prevent sperm from reaching ..
If this applies to you, your doctor may need to replace your implant earlier than every three years for continued contraception. After your implant is inserted, your doctor or nurse should, together with you, feel for the actual presence of Nexplanon in your arm. In rare cases the doctor may have to use ultrasound or magnetic resonance imaging, or may have to take blood samples, to make sure that the implant is inside your arm.