IUD and Nexplanon birth control evaluation in NYC

IUDs and the Nexplanon implant are long-acting reversible contraception options. Nao can provide method counseling and coordinate insertion, removal, or replacement only after pregnancy status, medical eligibility, trained-procedure staff, device supply, pain planning, and an eligible procedure site are confirmed.

Quick answer

IUDs and the Nexplanon implant are long-acting reversible contraception options. Nao can provide method counseling and coordinate insertion, removal, or replacement only after pregnancy status, medical eligibility, trained-procedure staff, device supply, pain planning, and an eligible procedure site are confirmed.

Eligibility and care boundaries

The visit begins with the clinical question and the records that can change the next step.

Method selection

Compare hormonal and copper IUDs with the etonogestrel implant, including bleeding patterns, duration, medicines, and non-device options.

Pregnancy and infection review

The clinician confirms pregnancy status and checks symptoms, sexual-health history, unexplained bleeding, and testing needs.

Insertion versus removal

A counseling visit does not automatically include a procedure. Removal of a nonpalpable implant, missing IUD strings, or a difficult prior attempt can require imaging or specialist care.

Pain and consent

Discuss expected discomfort, prior experiences, trauma-informed preferences, and available pain-management options before consenting to a procedure.

How care works

Begin with counseling

The clinician reviews goals, medical eligibility, bleeding preferences, medications, STI questions, and alternatives without steering toward a device.

Select the exact device and service

The plan identifies an IUD or Nexplanon and whether the need is insertion, removal, replacement, a string check, or complication evaluation.

Confirm the procedure site

Staff verify trained personnel, device acquisition, supplies, emergency procedures, coverage, and appointment length before a procedure is promised.

Complete follow-up

The clinician explains backup contraception when needed, expected bleeding, site or string care, warning symptoms, and when to return.

Counseling, insertion, removal, and complication care have different boundaries

CDC guidance supports person-centered care and individualized pain planning. Routine misoprostol is not recommended for IUD placement, while lidocaine options may help some patients. The final pain plan depends on preference, history, and clinician capability.

The current Nexplanon label includes a boxed warning about improper insertion and removal and a REMS requirement. Only a trained clinician in an approved workflow should insert or remove it.

An IUD or implant does not prevent STIs. Missing strings, a nonpalpable implant, pregnancy symptoms, severe pain, fever, heavy bleeding, or a suspected device complication may require imaging, urgent care, or gynecology rather than a routine office procedure.

Get urgent care for possible ectopic pregnancy, infection, perforation, or device migration

Seek urgent evaluation for a positive pregnancy test with pain or bleeding, severe or worsening pelvic or abdominal pain, fainting, fever with pelvic symptoms, very heavy bleeding, chest pain, shortness of breath, coughing blood, or new neurologic symptoms. Call 911 for severe symptoms.

Insurance and access

Benefits can differ for counseling, the device, insertion, removal, replacement, imaging, medication for pain, and follow-up. The care team must confirm the device, trained clinician, and procedure site before scheduling a procedure.

Clinics available for LARC evaluation and procedure coordination

All 11 cards are evaluation locations only. Confirm an eligible procedure clinic before scheduling insertion, removal, or replacement. No card promises same-day service, device inventory, trained procedure staff, imaging, or complex removal capability.