Objective:

To extend the labeled duration of use of the etonogestrel implant (Nexplanon) for pregnancy prevention from three years to up to five years.

Approach:

Key Findings:

• Nexplanon is effective for up to five years with no pregnancies reported during years 4 and 5.
• No new safety findings were observed during the extended use.
• Changes in menstrual bleeding patterns were the most common adverse reaction leading to discontinuation.

Interpretation:

The updated label for Nexplanon reflects its efficacy and safety for a broader range of women, including those with higher BMIs.

Limitations:

• The study was open-label and single-arm, which may introduce bias.
• The long-term effects beyond five years are not evaluated.

Conclusion:

Nexplanon is now approved for pregnancy prevention for up to five years, enhancing contraceptive options for women.

Sources:

• Organon
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