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"The skin is an interesting organ-the connective tissue has an integrity that keeps things from moving around," he explains. But that's so rare Pizarro's never heard of anyone actually having to get it done. In rare cases, Nexplanon can get stuck or the doctor may have a hard time locating it, in which cause removal may require surgery. "It simply requires another incision, then the implant is pulled out with special instrument," says Pizarro. Removal should also be pretty straightforward. It prevents pregnancy for up to three years by steadily releasing the hormone etonogestrel. All its baby-fighting power comes in the form of a flexible plastic stick that is around an inch and a half long, board-certified ob/gyn Antonio Pizarro, M.D., tells SELF. Nexplanon is a little matchstick-sized rod that gets implanted in the upper arm-which might sound weird, but it works.Ĭommonly called “the implant,” Nexplanon is small yet mighty. Here, everything you need to know to decide whether Nexplanon is right for you. But Nexplanon, an implant that goes in your arm, is right up there with them-and according to the data, sometimes it even has a slight edge over IUDs. In evaluating your options, you've likely heard someone-maybe even us-preaching the IUD gospel: With over 99 percent efficacy, intrauterine devices are one of the most solid options for keeping your uterus fetus-free. If you're not into getting pregnant any time soon, you've probably done your fair share of birth control research.