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This section of the website is for UK healthcare professionals only. If you are not a healthcare professional, please click here.
This section of the website is for UK healthcare professionals only. If you are not a healthcare professional, please click here.

Welcome to Nexplace: the home of NEXPLANON®
(etonogestrel 68 mg implant)

NEXPLANON® is indicated for contraception. Safety and efficacy have been established in women between 18 and 40 years of age.1

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Deep insertion of NEXPLANON®: what is it and what should
you do if it occurs?

Non-palpable and deeply inserted implants should be removed by healthcare professionals familiar with the anatomy of the arm and removal of deeply-inserted implants. Exploratory surgery without knowledge of the exact location of the implant is strongly discouraged. Please contact the local representative of the Marketing Authorisation Holder for further guidance.1

WHAT IS DEEP INSERTION?

NEXPLANON® should be inserted subdermally, just under the skin. Insertion/ removal of the implant should only be performed under aseptic conditions by a healthcare professional who is familiar with the procedures. Deep insertion refers to an implant inserted more deeply than subdermally.1

WHAT ARE THE CONSEQUENCES OF DEEP INSERTION?

Implants inserted more deeply than subdermally:1

  • may not be palpable and the localisation and/or removal can be difficult
  • may cause neural or vascular damage
  • have been associated with paraesthesia (due to neural damage) and migration of the implant (due to intramuscular or fascial insertion), and in rare cases with intravascular insertion

Duration: 54s. This video shows incorrect fitting of NEXPLANON®.
For guidance on correct insertion please refer to the full SPC.1

WHAT SHOULD YOU DO IF YOU SUSPECT DEEP INSERTION?

A non-palpable implant should always be located prior to attempting removal. Given the radiopaque nature of the implant, imaging procedures may be used for localisation.1 These include:1

  • two-dimensional X-ray
  • X-ray computer tomography (CT scan)
  • magnetic resonance imaging (MRI)
  • ultrasound scanning with a high-frequency linear array transducer (10 MHz or greater)

Non-palpable and deeply inserted implants should be removed by healthcare professionals familiar with the anatomy of the arm and removal of deeply-inserted implants. Exploratory surgery without knowledge of the exact location of the implant is strongly discouraged.1

What should you do if the implant…

…is localised in the arm? >

…has migrated within the arm? >

…still cannot be found in the arm? >

Once the non-palpable implant has been located, removal is recommended as soon as medically appropriate.1

Refresh your knowledge on
fitting and removing NEXPLANON®*

View our guidance on the fitting, removal and replacement of NEXPLANON®, including videos of the insertion and removal procedures

LARC: long-acting reversible contraceptive

*It is strongly recommended that NEXPLANON® be inserted and removed only by healthcare professionals who have completed training for the use of the NEXPLANON® applicator and the techniques for insertion and removal of the NEXPLANON® implant, and, where appropriate, that supervision be requested prior to inserting or removing the implant.1

References

  1. NEXPLANON® Summary of Product Characteristics

GB-XPL-115005 | Date of preparation: July 2021