• Dr. Simon Moore & Dr Paul Dhillon

Just Announced - New & as Effective as the IUD?! New Birth Control Method!

What are the different options for long acting reversible contraception (LARC) in Canada?

Though it’s been used internationally for years, there’s a new option just approved by Health Canada yesterday. Nexplanon is a 68mg ETONOGESTREL subcutaneous & radiopaque implant (4cm long) that is inserted subdermally at the inner side of your patient's non-dominant upper arm.

What to tell your patients

  • Lasts for up to a maximum of 3 YEARS and then must be removed.

  • Not known if it as effective in very overweight women (the clinical studies didn’t include this population)

  • Availability in Canada is expected Fall 2020 - the price hasn’t been announced yet.

  • Summary video for patients from the NHS

How to insert the implant

See a video explaining insertion

Don’t forget contraindications: Bleeding, babies, clots, cancer

  1. Known or suspected pregnancy

  2. Current/past history of thrombosis/thromboembolic disorders

  3. Liver tumours (benign/malignant) or active liver disease

  4. Undiagnosed abnormal genital bleeding

  5. Known/suspected breast cancer, personal history


  1. https://www.nexplanon.com/what-is-nexplanon/

  2. https://www.merck.com/product/usa/pi_circulars/n/nexplanon/nexplanon_pi.pdf

  3. Reference to specific commercial products, manufacturers, companies, or trademarks does not constitute its endorsement or recommendation by the U.S. Government, Department of Health and Human Services, or Centers for Disease Control and Prevention and is available free of charge at https://www.cdc.gov/vitalsigns/larc/images/infographic-B_570px.jpg

  4. Dr. B.N.

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The only Canada-Wide CCFP exam course - created by two Family Doctors who wished this existed when we were residents, and are on a mission to help CCFP exam candidates. Disclosures: The Review Course founders have no conflicting commercial interests. As is the case with any private events hosted on a university campus or hospital, this event is not affiliated with nor endorsed by the host venues. Our materials are peer-reviewed and prepared by Canadian physicians; we do not guarantee that our preparation materials are representative of any Canadian examination and we do not provide questions from any other examination nor are they intended as medical advice. The College of Family Physicians of Canada does not affiliate with nor endorse any exam preparation course.