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Gynecology

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Nexplanon 

Long-acting birth control placed in a single visit.

Nexplanon is a small implant inserted under the skin of the upper arm that provides up to three years of pregnancy prevention. It works continuously, without daily reminders or monthly refills.

At Balance Medical in Bismarck, we review your health history, explain how Nexplanon works, and help you decide whether it fits your needs and plans.

What Is Nexplanon?

Nexplanon is a small, matchstick-sized implant placed just under the skin of your upper arm. Once in place, it slowly releases a hormone called progestin, which prevents ovulation and thickens cervical mucus to help block sperm.

The best part? You don’t have to think about it. Once inserted, Nexplanon works continuously for up to 3 years, making it one of the most convenient and effective birth control options available.

Who Is Nexplanon For?

Nexplanon is a great option for women who:

  • Want highly effective, low-maintenance birth control
  • Prefer not to take a daily pill or manage monthly methods
  • Are not planning to become pregnant in the next few years
  • Want a discreet, hormone-based option
  • May not tolerate estrogen-containing birth control

If you’re unsure whether hormonal birth control fits your body or you’ve had side effects with other methods, we’ll help you compare options so the decision feels right for you.

Testimonials

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Amazing staff! Incredibly attentive and takes the time to listen. I’ve been nothing but impressed with this clinic.

Testimonials

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Unlike many other clinics, Balance Medical feels like “home” as soon as you walk in. The team is friendly, personable, and is 100% dedicated to women’s health. I love how easily they can break information down so that you can actually understand it too!

I’d recommend Balance Medical in a heartbeat!

Testimonials

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My wife loves the staff at Balance Medical and Dr. Rhonda Schafer-McLean provided her a wonderful experience during her visit.

Testimonials

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Seriously 16 out of 10 stars. They are AMAZING!!!!!I NEVER feel rushed or unheard or unimportant. Every women should go here. Top Notch service!!!

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What to Expect During Insertion

Nexplanon is placed during a quick, in-office procedure. We start by numbing a small area on the inside of your upper arm. The implant is then inserted just beneath the skin using a specialized applicator.

The whole thing usually takes less than 5 minutes, and most patients describe the process as more “weird” than painful. You’ll go home with a small bandage and the peace of mind that your birth control is handled for years.

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Timeline

Typically a few days

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Recovery and Aftercare

After placement, it’s normal to feel a little soreness or tenderness at the insertion site. You might also have a small bruise or slight swelling for a few days. We’ll give you care instructions, but most patients return to their regular routine right away.

Here’s what to expect post-procedure:

    • A pressure bandage for 24 hours

    • Light activity restriction on the arm for a day or two

    • Occasional spotting or changes in your period (we’ll talk about this ahead of time)

If you ever decide you want the implant removed early, or want to try something different, it can be easily taken out during another quick office visit.


Why Choose Balance Medical for Nexplanon?

Choosing birth control should feel straightforward. We take time to discuss your options, what your body has (or hasn’t) tolerated in the past, and what will realistically work for your life.

At Balance Medical, our team is:

  • Skilled in both placement and removal of Nexplanon
  • Focused on comfort, safety, and practical guidance
  • Honest about benefits, side effects, and alternatives
  • Known for creating a calm, non-judgmental space to talk through choices

Dr. Rhonda Schafer-McLean brings years of experience in women’s health and is known for her calm, supportive bedside manner. Whether this is your first long-acting method or you’re switching from something else, Dr. Rhonda will listen carefully, answer your questions, and help you make a confident choice.


Learn More Today or Schedule An Appointment

You deserve birth control that fits your life, not the other way around. If you’re interested in Nexplanon or just want to explore your choices, we’re here to help.

Schedule a visit or send us a message. Let’s talk about what makes the most sense for you.


Frequently Asked Questions About Nexplanon

How effective is Nexplanon?

Nexplanon is more than 99% effective at preventing pregnancy. Once placed, you don’t have to think about it for up to 3 years.

Will I feel the implant under my skin?

You may be able to feel it if you press on the area, but it’s not uncomfortable. The implant is very small and discreet.

What are common side effects?

Some women experience irregular bleeding, lighter or heavier periods, or no period at all. These changes are usually not harmful and often level out over time.

Can Nexplanon be removed before 3 years?

Yes. If you want to stop using it at any point, we can remove it during a short office visit. Fertility typically returns quickly.

Is Nexplanon safe for teens or people who haven’t had children?

Absolutely. Nexplanon is a safe, effective option for women of all ages and stages, including teens and those who’ve never been pregnant.


Founder & Medical Director at 

Dr. Rhonda Schafer-McLean is a board-certified OB/GYN with more than 15 years of experience caring for women throughout North Dakota. As the founder of Balance Medical and Bal Med Skin, she combines advanced medical expertise with a genuine, down-to-earth approach. Whether she’s performing surgery or helping someone feel more confident in their skin, Dr. Rhonda believes every woman deserves care that’s personal, approachable, and tailored to her life.