When To Remove A Contraceptive Implant If You Are Pregnant
Equally, if you develop stomach pain, you must see your doctor urgently to rule out any chance of an ectopic pregnancy. There is good evidence to show that implants do not cause birth defects and will not cause harm to a developing pregnancy. However, it is suggested that in this situation the implant is removed as soon as possible. 6
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How Do They Remove Nexplanon
To remove the device, your health care provider will inject a local anesthetic in your arm beneath the implant. They will make a small incision in your skin and will push the implant toward the incision until the tip is visible and can be grasped with forceps.
Your health care provider will then pull out the implant, close the incision and apply a pressure bandage. Contraceptive implant removal typically takes less than five minutes.
If you choose, a new device can be implanted as soon as the original device is removed. Be prepared to use another type of contraception right away if you dont have a new device inserted.
For information on Problems with Insertion and Removal see the section below called What are the possible risks of using Nexplanon?
What Should You Avoid When Using
When you are using Nexplanon implant, avoid smoking. This is because smoking elevates your chances of developing blood clots, serious complications like stroke, and heart attack. These risks increase with age the older you are, the more risky you are to develop blood clots and stroke or heart attack. Hence, when you are over 35 years of age and smoking, do not use Nexplanon implant.
Nexplanon implant cannot protect you against sexually transmitted infections. Use a condom to protect you against STIs.
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Where Is The Nexplanon Birth Control Implant Located
Yes, NEXPLANON is a small, thin, and flexible birth control implant that provides 3 years of continuous pregnancy prevention. Its placed discreetly just under the skin on the inner side of your non-dominant upper arm by your healthcare provider.
Do not use if you are pregnant. If you become pregnant, the Nexplanon implant should be removed if you plan to continue the pregnancy. You may need to have a negative pregnancy test before receiving the implant. You should not use hormonal birth control if you have:
If You’re Under 16 Years Old
Contraception services are free and confidential, including for people under the age of 16.
If you’re under 16 and want contraception, the doctor, nurse or pharmacist won’t tell your parents as long as they believe you fully understand the information you’re given, and your decisions.
Doctors and nurses work under strict guidelines when dealing with people under 16. They’ll encourage you to consider telling your parents, but they won’t make you.
The only time a professional might want to tell someone else is if they believe you’re at risk of harm, such as abuse. The risk would need to be serious, and they would usually discuss this with you first.
Page last reviewed: 9 March 2021 Next review due: 9 March 2024
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Why Do People Choose The Implant
It has many advantages. Firstly, the implant is more than 99% effective at preventing pregnancy, with only around 1 in 3,000 sexually active people using the implant becoming pregnant each year . In the majority of studies, no one became pregnant pretty good odds!
Other advantages include the fact that it can be used for 3 years without ever having to think about it, its pretty easily reversible, it doesnt contain estrogen , it doesnt interrupt sex, its safe to use when breastfeeding, and fertility returns quickly after removal.
Effectiveness For Preventing Pregnancy
Nexplanon implants are effective in preventing pregnancy. The etonogestrel implant is considered a highly effective form of birth control in the Center for Disease Controls . .
Nexplanon pregnancy rate
Nexplanon is an effective form of birth control. In fact, Nexplanon is over 99% effective at preventing pregnancy. To learn more about Nexplanons pregnancy rate, talk with your doctor or pharmacist. For more information on how Nexplanon performed in clinical trials, see the drugs prescribing information.
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How Effective Is Nexplanon
Nexplanon is 99.9% effective when inserted correctly. With typical use, 1 of every 100 women who use Nexplanon for a year will become pregnant.
Nexplanon may be less effective if you are overweight. This is because the amount of hormone actively circulating in the blood will be lower in women with a high body mass index compared to those with a normal BMI.
To this end, some healthcare providers will recommend replacement between the second and third years in women with a higher body weight, rather than waiting until the end of the third year.
There are many lifestyle and health benefits to consider when deciding to use Nexplanon. These include:
- Discreet and private
- Does not require maintenance or the need for daily dosing
- Safe for those who can’t use estrogen-based contraception
- Effective immediately if inserted between the first and fifth day of your period
- Safe for breastfeeding moms four weeks after implantation
- Comes with fewer hormonal ups and downs than other hormonal birth control due to its steady hormone delivery
In addition, Nexplanon may be a good option for you if you don’t want to get pregnant now, but want flexibility with family planning after ending birth control use.
Unlike some forms of hormonal contraception, fertility returns quickly once you stop using Nexplanon, often within 14 days. By comparison, it may take up to a year for fertility to return after stopping Depo-Provera, another long-term contraceptive method.
How Long Will I Bleed After Nexplanon Insertion
Bleeding after Nexplanon removal varies in its individuals, as some may bleed heavy with pain after implant removal. In contrast, others may have no or light bleeding after it. Anyhow, a females menstrual cycle regulates completely within 3 months of insertion. Therefore, period flow can relegate normal bleeding in 3 to 5 months of BC implantation.
Nexplanon And Irregular Bleeding Is It Normal
Yes, spotting between time periods, especially when you have just started with this new method in the last couple of months, may be normal when using a progestin alone method such as Nexplanon or IUD.This irregular, or even daily, bleeding is not a danger and for most women, adapting their bodies to their new method of birth control only takes a few months, and they regularize their cycles again.
Some women do this while adjusting their bodies to new hormones in their bodies.Bleeding between times, as your hormones in your body are fluctuating and inconsistent while your body adapts to your new technique, may take place as breakthrough bleeding.It can also happen if your body finds it difficult to adapt to a progestin-only method, without the oestrogens that typically support your uterine fiber.
The hormones oestrogen and progesterone help build and maintain your uterine body in your typical menstrual cycle, so that your body can be pregnant.Hormone levels drop if a pregnancy does not occur, causing your uterus to shed its lining Based on the new birth control method your hormone levels fluctuate, your body gets confused and bleeding can happen both on and off.
We advise you to adjust your body to any new method of birth control 6 months or longer to allow you to benefit from all the great advantages it offers!In that case, you will have with your Nexplanon the 3 years of worry-free birth control!
What Side Effects Might I Experience
Some of the most frequent possible side effects include headaches, vaginal irritation, weight increase, and acne. The average weight increase was only 3 pounds in the first year and 4 pounds after 2 years, and it is uncertain how much of this was due to Nexplanon. Some less common possible side effects include emotional changes, depressive mood, nausea, and dizziness.
I Like Having The Extra Backup On The Contraceptive Side Of Things
I got a Nexplanon implant two years ago, mainly to stop having periods but I also moved in with my partner full time, so I decided to get some method of round-the-clock contraceptive too.
My experience has been fine. Insertion was very quick. The doctor talked me through what was happening. I had a small dose of localised anesthetic before hand, then she used what looked like a piercing gun to insert the implant and I didnât feel any pain. I kept it bandaged for a day or two afterwards. Now I have a small scar on the point of insertion, but I do scar easily. I had some light bleeding but no pain like I used to . After the insertion I didnât have a period for about 8 months, then I bled lightly for about 3 days, then it stopped again for another 8 months.
I plan on sticking with the implant. For me, it has been useful in stopping periods, and I like having the extra backup on the contraceptive side of things.âAnonymous, female, 20, Sheffield, UK
We at Clue recommend that you see a healthcare provider to discuss which birth control is best for you, and let them know if you are experiencing any negative side effects.
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How Can I Stop My Period On Nexplanon
Indeed, Nexplanon and other progestins providing birth control affect the duration and intensity of menstruation flow. You may get heavier or lighter, longer or shorter periods, while on BC.
Fortunately, you can regulate your blood flow with some OTC and prescription medications. Such as an OTC, ibuprofen can be taken after 4 to 6 hours to lower the blood flow during periods.
Also, if you are thinking about adding a combination pill or patch, you may want to ask your doctor if a combination pill like Chatel or Microgestin can be prescribed for you.
Moreover, if you take a monophasic combined pill for a month, you will stop bleeding and have a regular period the following month.
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How Does It Work
The implant releases a steady flow of the Etonogestrel hormone into the body. This works to prevent pregnancy in 2 ways:
Nexplanon is a reversible form of birth control, which means that it has no permanent effects on your ability to get pregnant.
Can Any Woman Get Hormonal Implants
No. Hormonal implants cannot be used by women who:
- Have a serious liver disease
- Have had breast cancer
Some medications may lower the effectiveness of the implants. If you are taking medications such as certain anti-seizure medications, over-the-counter herbs, dietary supplements and /or vitamins, tell your health care provider.
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What Are The Side Effects
Bleeding patterns are likely to change:
- periods may be at the normal times, but they may be lighter andless painful
- occasional bleeding may happen without a regular period
- increased bleeding happens sometimes, this can includebleeding more often, heavier bleeding or a combination of this
Many people have no other side effects. Some may experience the following problems:
- Acne may develop, improve or get worse.
- Weight gain can occur over time and is often thought to be caused by the implant, but has not been directly proven.
- Headaches, breast pain and mood changes can occur and may go away after the initial few weeks.
- Bruising and mild soreness at the site of insertion or removal can last up to 2 weeks. A small scar remains.
Occasionally the implant can be difficult to feel or remove and you may need to have an ultrasound to check its position in your arm.
What Are The Nexplanon Side Effects After Removal
Any time theres a change in your hormones like when you go on or off hormonal birth control such as the implant theres a chance of temporary side effects. But they usually go away after a few months.
When you go off the implant, your body will eventually return to the way it was before you went on it. So if you stopped getting your period on the implant, your period will eventually come back after the implant is out. It can also take a few months for your period to go back to the cycle you had before you got the implant .
Everyones body is different, and our bodies also change over time. So theres no way to know exactly how your body will react to going off the implant. But any negative side effects that you may have will go away within a few months as your body gets used to being off the hormones.
Another important thing to note: you can get pregnant right away once the implant is out of your body . So if you stop using the implant but you dont want to get pregnant, make sure to use another birth control method.
If youre really worried about the side effects of going off the implant, talk with your nurse or doctor. They may be able to give you more specific information about what to expect based on your personal medical history.
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How Is The Nexplanon Implant Used
Nexplanon is inserted through a needle into the skin of your upper arm, just inside and above the elbow. After the implant is inserted, your arm will be covered with 2 bandages. Remove the top bandage after 24 hours, but leave the smaller bandage on for 3 to 5 days. Keep the area clean and dry.The timing of when you receive the Nexplanon implant depends on whether you were using birth control before, and what type it was. For more information about how quickly it works as a contraceptive see dosing information below.
You should be able to feel the implant under your skin. Tell your doctor if you cannot feel the implant at any time while it is in place.
The Nexplanon implant can remain in place for up to 3 years. If the implant is placed correctly, you will not need to use back-up birth control. Follow your doctor’s instructions.
You may have irregular and unpredictable periods while using Nexplanon. Tell your doctor if your periods are very heavy or long-lasting, or if you miss a period .
If you need major surgery or will be on long-term bed rest, or if you need medical tests, may need to have your Nexplanon implant removed for a short time. Any doctor or surgeon who treats you should know that you have a Nexplanon implant.
Have regular physical exams and mammograms, and self-examine your breasts for lumps on a monthly basis while using this medicine.
What Menstrual Bleeding Changes Can I Expect
Every womans body reacts differently to the implant. You will likely notice changes to your bleeding pattern in the first 3-6 months after placement. About 1 in 5 women stop having periods. About 1 in 5 have heavy or prolonged bleeding. Most other women just have light, but irregular bleeding. After 3-6 months, you should have a good idea of what your bleeding will be like with the implant in place.
It is normal to have spotting or irregular bleeding. If you are concerned or have questions about your bleeding at any point after Nexplanon is placed, we recommend a follow-up with your healthcare provider.
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How Long Does It Last
Nexplanon is effective for up to 3 years of use. You should have your Nexplanon implant replaced at least once every 3 years.
When you get your Nexplanon implant, your doctor will give you a user card. This card will have the date you received your implant. Itll also include the date it should be removed.
If youd like to have Nexplanon removed sooner than 3 years, talk with your doctor. For more information, see When to have Nexplanon inserted and removed in the Nexplanon insertion and removal section above.
Below is information on Nexplanon dosage. Nexplanon only comes in one strength. So, everyone whos prescribed the drug will receive the same dosage.
How Long Does Nexplanon Last
Nexplanon lasts for 3 years and at the end of the 3 years your implant must be removed. If you still require contraception a new implant may be inserted at the time of removal. You can have Nexplanon removed at any time and you will return to your normal fertility.
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Schedule An Appointment For Placement Of The Nexplanon
Before you call, please review the preparation information below so that your appointment can be appropriately timed with regards to your menstrual cycle. Once you also have reviewed your insurance benefits Patient Portal message, simply reply to the message indicating your desire for the Nexplanon placement. Please lists some dates & times that would work for placement. Please reply with a good phone number and time to reach you so that we can call you to schedule the placement.
Problems During Insertion And Removal
Nexplanon will be implanted just below the skin, so you can feel it at all times. If Nexplanon is inserted too deeply, it can damage the muscles, tissues, and blood vessels around it. It can also lead to unwanted pregnancies. Very rarely, implants that have been inserted too deeply can move to another part of the body and cause infections. If Nexplanon has been placed incorrectly, it will need to be removed and placed again. If theres ever a time you cant feel the implant, contact your provider immediately and use a barrier method of protection to prevent pregnancy until your provider confirms the implant is in the right place.
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