We have several clients that have been very happy with Implanon/Nexplanon that they are now on their 3rd replacement. We use the expiration date of 3 years for replacement, but occasionally have clients who are slightly beyond the 3 year expiration date. What is the
risk of pregnancy after the 3 year date (when should we worry about emergency contraception/risks of pregnancy prior to removal and re-insertion)?
Thank you so much for your expertise!
At least 3 studies have shown no pregnancies in the 4th year of Implanon use.
A longer study has found no pregnancies into the 5th year. At the present time, women whose Nexplanon implants have been in for more than 4 years should definitely consider having it replaced or use condoms for additional protection.
So there definitely no cause for fear when a woman slightly exceeds the 3 year removal recommendation.
See both Contraceptive Technology and Managing Contraception for references.
To learn more about the advantages and disadvantages of the Implanon and Nexplanon implants; go to: www.managingcontraception.com and click on Choices 2013 edition. You can also order these wonderful new educational books from our website or by calling 404-875-5001. Do you have your copy yet? It is now available in English and Spanish.
Key Words: clients, Implanon implant, Nexplanon implant, replacements, expiration date, risk, pregnancy, emergency contraception, removal, re-insertion, studies, Contraceptive Technology, Managing Contraception, condoms, protection
Contraceptive Technology 20th Edition
Managing Contraception 2014-2015
Posted 8-16-2014, Updated 8-25-2014