Long-acting contraception includes an intrauterine device placed in the uterus and Nexplanon, a small implant placed under the upper-arm skin. Counseling, insertion and removal are separate services.
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Long-acting contraception includes an intrauterine device placed in the uterus and Nexplanon, a small implant placed under the upper-arm skin. Counseling, insertion and removal are separate services. Discuss pregnancy goals, bleeding preferences, medical history and procedure comfort before choosing a method.
Hormonal IUDs release a progestin locally; copper IUDs use a different mechanism and have different bleeding effects. Nexplanon releases etonogestrel and inhibits ovulation. The current US Nexplanon label allows use for up to five years. IUD duration depends on the exact device and indication; Mirena is approved for contraception up to eight years and heavy menstrual bleeding for up to five.
The clinician checks pregnancy possibility, medicines and conditions that affect eligibility. Hormonal and copper methods have different precautions. A history of breast cancer, unexplained bleeding or other conditions may affect the choice. These methods do not protect against STIs; discuss condoms and testing according to risk.
First discuss the method, timing, consent and the clinic’s procedure availability. Before insertion, determine whether pregnancy can be reasonably excluded and whether infection assessment is needed. Make a pain-management plan for IUD placement. Nexplanon insertion and removal require appropriately trained providers under its current REMS; confirm the actual procedure appointment and clinician.
Bring the current device’s name and insertion date, prior procedure records, medicines and relevant medical history. Discuss pain options such as lidocaine for IUD placement; routine misoprostol is not recommended for everyone. Ask about timing, backup contraception and transportation according to the chosen method and procedure plan.
An implant that cannot be felt must be located before removal; deep placement or migration can make removal complex. Missing IUD strings may need pregnancy assessment and imaging or specialist referral, not blind removal. Severe pelvic pain, possible pregnancy, heavy bleeding or signs of infection needs prompt assessment. New arm symptoms or concern about device position should be reviewed.
Record the device, insertion date and replacement deadline. Contact the team for troublesome bleeding, pain, possible pregnancy or inability to feel the implant. Removal can be requested when needed; confirm how it will be arranged. Fertility generally returns after removal, so discuss an alternative method if pregnancy is not desired.
Confirm whether the exact Nao clinic offers counseling, placement, routine removal or referral for difficult removal. A first consultation does not guarantee a stocked device or a same-day procedure. Ask separately about device and procedure coverage, authorization, pain care and follow-up. A missing-string or nonpalpable-device case may need a specialist setting.
A consultation starts with the clinical review and required records. Treatment or a procedure depends on suitability, the actual order, safety checks, staff, supplies and any authorization; booking does not guarantee a dose or procedure that day. First discuss the method, timing, consent and the clinic’s procedure availability. Before insertion, determine whether pregnancy can be reasonably excluded and whether infection assessment is needed. Make a pain-management plan for IUD placement. Nexplanon insertion and removal require appropriately trained providers under its current REMS; confirm the actual procedure appointment and clinician.
Counseling reviews choices, suitability and preferences. Insertion places the device through a procedure, while removal takes an existing device out and may need additional expertise if it cannot be located normally. They can require different appointments, staff and charges. Confirm the exact procedure before booking; Nexplanon insertion and removal also have REMS requirements.
The May 2026 US Nexplanon label allows pregnancy prevention for up to five years. Confirm the implant and insertion date and arrange removal or replacement by the end of that period. Older three-year information should not replace the current US label. IUD duration differs by device and purpose.
Bring the current device’s name and insertion date, prior procedure records, medicines and relevant medical history. Discuss pain options such as lidocaine for IUD placement; routine misoprostol is not recommended for everyone. Ask about timing, backup contraception and transportation according to the chosen method and procedure plan.
First discuss the method, timing, consent and the clinic’s procedure availability. Before insertion, determine whether pregnancy can be reasonably excluded and whether infection assessment is needed. Make a pain-management plan for IUD placement. Nexplanon insertion and removal require appropriately trained providers under its current REMS; confirm the actual procedure appointment and clinician. Record the device, insertion date and replacement deadline. Contact the team for troublesome bleeding, pain, possible pregnancy or inability to feel the implant. Removal can be requested when needed; confirm how it will be arranged. Fertility generally returns after removal, so discuss an alternative method if pregnancy is not desired.
An implant that cannot be felt must be located before removal; deep placement or migration can make removal complex. Missing IUD strings may need pregnancy assessment and imaging or specialist referral, not blind removal. Severe pelvic pain, possible pregnancy, heavy bleeding or signs of infection needs prompt assessment. New arm symptoms or concern about device position should be reviewed.
No. Depo-Provera, IUDs and Nexplanon prevent pregnancy but do not protect against STIs. Discuss condoms, exposure-specific testing and other prevention with the clinician.
Coverage depends on the exact service, product, indication, provider and plan rules. Confirm whether the exact Nao clinic offers counseling, placement, routine removal or referral for difficult removal. A first consultation does not guarantee a stocked device or a same-day procedure. Ask separately about device and procedure coverage, authorization, pain care and follow-up. A missing-string or nonpalpable-device case may need a specialist setting.
Before treatment starts, confirm the diagnosis, the intended benefit, the exact treatment and who will coordinate ongoing care. First discuss the method, timing, consent and the clinic’s procedure availability. Before insertion, determine whether pregnancy can be reasonably excluded and whether infection assessment is needed. Make a pain-management plan for IUD placement. Nexplanon insertion and removal require appropriately trained providers under its current REMS; confirm the actual procedure appointment and clinician.
Prepare the relevant dated records, current medicine list and your main questions, and confirm any treatment-specific instructions before attending. Bring the current device’s name and insertion date, prior procedure records, medicines and relevant medical history. Discuss pain options such as lidocaine for IUD placement; routine misoprostol is not recommended for everyone. Ask about timing, backup contraception and transportation according to the chosen method and procedure plan.
Agree on the next review, how response and safety will be checked, and who to contact for symptoms, missed treatment or a refill problem. Record the device, insertion date and replacement deadline. Contact the team for troublesome bleeding, pain, possible pregnancy or inability to feel the implant. Removal can be requested when needed; confirm how it will be arranged. Fertility generally returns after removal, so discuss an alternative method if pregnancy is not desired.
An intrauterine device, or IUD, is placed in the uterus. A hormonal IUD releases progestin, thickening cervical mucus so sperm have difficulty reaching an egg and thinning the uterine lining. A copper IUD prevents sperm from reaching and fertilizing an egg without a hormone. Neither type protects against sexually transmitted infections.
Yes, although pregnancy is uncommon with an IUD. If a pregnancy test is positive, contact a clinician promptly to check the pregnancy location and discuss the device. An ectopic pregnancy must be considered. Do not try to remove the IUD yourself. With possible pregnancy, belly or shoulder pain, bleeding, dizziness or fainting needs an emergency department assessment now. If you are fainting, have severe pain or cannot travel safely, call 911.
Choose care according to the problem and how urgently you need help. Urgent care assesses non-emergency illnesses and minor injuries.