Manhattan Women's Health and Wellness
  • MIDTOWN 51 EAST 25TH STE 451 New York, NY 10010
  • UPPER EAST SIDE 983 PARK AVE, STE 1D17 New York, NY 10028
  • UNION SQUARE 55 W. 17TH ST STE 104 New York, NY 10011

The Nexplanon device is statistically one of the most effective birth control methods out of all the birth control methods. The Nexplanon is a soft plastic device measuring only a few centimeters that can be placed on the inside of the arm to prevent unplanned pregnancies. The Nexplanon has been around for several years, establishing its safety profile and benefit.

Gynecologists of Manhattan Women’s Health & Wellness offer comprehensive Obstetrics & Gynecology care in NYC for women of all ages. At our ob-gyn clinic, we provide a full range of gynecology services, from annual check-ups and routine pap smears to contraceptive implant and GYN procedures, surgeries performed in our office or the hospital. Our state-of-the-art gynecology NYC facility is equipped with the latest ob-gyn equipment.

Contacting implants are generally one hormone called progesterone or from the progestin class of hormones. They prevent pregnancy by thickening cervical mucus, thus prohibiting sperm from entering the uterus, decreasing the motility of eggs leaving the ovaries and making their way into the uterus, and potentially stopping ovulation from happening is the ovaries releasing eggs.

Nexplanon is one of the most effective forms of birth control.

The benefits of this medication include generally bleeding less while you’re on your period, with many women no longer having any bleeding while on their periods while they have the implant in place. The main side effects can include bleeding or spotting while not on your period, breast tenderness, and potential mood changes. These are usually mild, if any. Luckily, if you do experience any of these and they don’t go away, you can have the implant removed at any time. The key reasons not to get an implant to include being pregnant, liver problems or tumors, breast cancer, or a history of blood clots in your lungs or legs.

Preparing for the Nexplanon

NexplanonThe explanation is usually placed just below the skin near your tricep muscle/ on the inside of your non-dominant arm. This is an ideal location for the device as the area is generally well protected by your body and not noticed much. The device generally does not move once implanted and can stay in the arm for several years.

There is no special preparation for the device other than your gynecologist making sure you are not pregnant before placing the contraceptive implant.

Your gynecologist Dr. Fernando Mariz located in Midtown, Manhattan, and on the Upper East Side, may ask you some of the following questions:

  • Are you currently on a method of contraception other than condoms
  • When was your last menstrual period
  • Have you had intercourse since your last period

As long as you meet the criteria, you are ready to have the implant placed

Placement and removal


The contraceptive implant is placed on the inner portion of the arm. The first step will be to confirm you are not pregnant. After this has been established, your gynecologist in NYC will ask you to lie down on the examination chair with your non-dominant arm up.

After evaluating any abnormalities or potential blood vessels with a visual inspection, the gynecologist will clear the desired implantation site with an antiseptic. Then, with a tiny needle, the doctor will inject the numbing medication. After noting that the area is totally numb, they will get the implant, which comes in an injecting device, and inject it under the skin.

The doctor will ask you to feel the device to confirm its location under the skin, and now they will wrap the area with a bandage to prevent bleeding.

After the procedure, the numbing medication will take several hours to wear off. During this time, you may start to feel pins and needles as you regain sensation. For the next day or two, you may feel like you have a small bruise in the area. This is totally normal. If the area is not getting larger, red, or bruising is increasing, it most likely is normal; however, your doctor should always evaluate all concerns.

Removing the device is similar in which the area will be cleaned first, then numbing medication injected. A tiny incision will be made above the device and the device removed. No stitches are usually needed, just a bandaid.

Important Reminder: This information is only intended to provide gynecology guidance, not definitive medical advice. Please consult an OBGYN doctor about your specific condition. Only a trained, experienced gynecologist or certified gynecology specialist can determine an accurate diagnosis and proper treatment.

Have questions about Contraceptive Implants? Please schedule an appointment with the best-rated OBGYN in Manhattan, New York, Dr. Fernando Mariz, by calling our office today.

Updated on Jul 8, 2021 by Dr. Fernando Mariz (Gynecologist), Manhattan Women’s Health and Wellness
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New York City Locations: Manhattan Women's Health & Wellness (Upper East Side) 983 Park Ave, Ste 1D17
New York, NY 10028
(212) 389-1904
Manhattan Women's Health & Wellness (Midtown) 51 East 25th St, Ste 451
New York, NY 10010
(212) 677-7654
Manhattan Women's Health & Wellness (Union Square) 55 W 17th St, Ste 104
New York, NY 10011
(212) 378-9985
DISCLAIMER: PLEASE READ CAREFULLY The information on this website is to provide general information. The information on this website does NOT reflect definitive medical advice, and self-diagnoses should not be made based on information obtained online. It is important to consult a physician for a consultation and examination regarding any symptoms or signs you may be having. Your physician should make an accurate diagnosis and treatment plan to exclude a serious condition.