If you’re interested in using birth control to help prevent pregnancy, your doctor may suggest Nexplanon. Show
Nexplanon is a hormonal birth control implant prescribed to females* who want to prevent pregnancy. For more information, see the “Is Nexplanon used for preventing pregnancy?” section below. * In this article, we use the term “female” to refer to someone’s sex assigned at birth. For information about the difference between sex and gender, see this article. Nexplanon basicsNexplanon contains the active drug etonogestrel. (An active drug is the ingredient that makes a medication work.) It belongs to a group of drugs called progestins. The drug is not available as a generic. Nexplanon comes as a small plastic device that a healthcare professional inserts just underneath the skin of the upper arm. It’s a long lasting, reversible birth control option. To learn more about this procedure, see the “How is Nexplanon inserted and removed?” section below. In this article, we discuss Nexplanon’s side effects, how it’s inserted and removed, how it’s used to help prevent pregnancy, and more. Like most drugs, Nexplanon may cause mild or serious side effects. The lists below describe some of the more common side effects that Nexplanon may cause. These lists do not include all possible side effects. Keep in mind that side effects of a drug can depend on:
Your doctor or pharmacist can tell you more about the potential side effects of Nexplanon. They can also suggest ways to help reduce side effects. Mild side effectsHere’s a short list of some of the mild side effects that Nexplanon can cause. To learn about other mild side effects, talk with your doctor or pharmacist, or read Nexplanon’s prescribing information. Mild side effects of Nexplanon that have been reported include:
Mild side effects of many drugs may go away within a few days to a couple of weeks. But if they become bothersome, talk with your doctor or pharmacist. Serious side effectsSerious side effects from Nexplanon can occur, but they aren’t common. If you have serious side effects from Nexplanon, call your doctor right away. But if you think you’re having a medical emergency, you should call 911 or your local emergency number. Serious side effects of Nexplanon that have been reported include:
Allergic reaction Your doctor will explain how Nexplanon will be inserted and removed. Below is some general information about these procedures. Having Nexplanon inserted or removedA healthcare professional will place the Nexplanon implant at a doctor’s office or a clinic. They’ll insert Nexplanon under your skin on the inner side of your nondominant arm. For example, if you’re right-handed, the implant will go into your left arm. They’ll numb the area first to help prevent pain. Before inserting Nexplanon, your doctor will order a pregnancy test for you. You should not get Nexplanon if you’re pregnant. The ideal time for having Nexplanon inserted depends on the kind of birth control you’re switching from, as described below. If you have Nexplanon inserted at a time other than what’s listed in the chart, it’s recommended that you use a backup birth control method. Specifically, you should use a barrier method of birth control for 7 days after you have Nexplanon inserted. After giving birth, you’ll need to wait 21 to 28 days before you can have Nexplanon implanted. If you’re planning on breastfeeding, you’ll need to wait 28 days after giving birth before you can have Nexplanon implanted. You should use a barrier method of birth control for 7 days after you receive the implant. You’ll need to have a healthcare professional remove your implant at a doctor’s office or a clinic. When inserting the implant, they’ll numb the area first to help prevent pain. If you’d like to continue with Nexplanon, they can insert a new implant after removing the old one. This can be done during the same visit. Nexplanon insertion and removal side effectsInsertion and removal side effects are possible with Nexplanon. Implant site reactions reported in studies of Nexplanon include the following:
Itchy skin at the insertion site has also been reported since Nexplanon became available on the market. In rare cases, it’s possible for serious complications to happen with Nexplanon insertion and removal, including:
To learn more about Nexplanon insertion or removal side effects, talk with your doctor. Questions for your doctor Find answers to some commonly asked questions about Nexplanon. How effective is Nexplanon? What’s the pregnancy rate with this birth control method?Nexplanon has been found to be highly effective at preventing pregnancy. To learn more about the pregnancy rate with Nexplanon, visit the drug manufacturer’s website. You can also view the drug’s full prescribing information or talk with your doctor or pharmacist. What’s to know about Nexplanon vs. Implanon? And what about Nexplanon vs. IUDs?Implanon was a birth control implant that contained etonogestrel, the same active drug as Nexplanon. (An active drug is the ingredient that makes a medication work.) But Implanon has been discontinued by its manufacturer. Intrauterine devices (IUDs) are small devices placed inside the uterus. Like Nexplanon, IUDs provide long lasting, reversible birth control. According to the Centers for Disease Control and Prevention (CDC), Nexplanon and IUDs are among the most effective birth control methods. If you’d like to learn more about how Nexplanon compares with other birth control methods, talk with your doctor or pharmacist. Is Nexplanon considered hormonal birth control?Yes, Nexplanon is a kind of hormonal birth control. Hormonal birth control alters levels of estrogen, progestin, or both. These are two hormones your body naturally makes. Altering levels of these hormones makes it harder for you to become pregnant. To learn more about hormonal and nonhormonal birth control, talk with your doctor or pharmacist. How long does Nexplanon last once it’s inserted?Once a Nexplanon implant is inserted, it’s approved by the Food and Drug Administration (FDA) for up to 3 years of use. Research suggests the implant may still be effective in preventing pregnancy for up to 5 years. You may have Nexplanon removed sooner than 3 years. For example, you might want to remove the implant if you’re planning a pregnancy or having bothersome side effects. But you must have it removed by the end of the third year after insertion. For more about when to have a Nexplanon implant removed, talk with your doctor or pharmacist. Will I have hair loss with Nexplanon?Hair loss wasn’t reported in studies of Nexplanon. But there have been a few reports of hair loss since Nexplanon became available on the market. Because these reports happened outside controlled studies, it’s hard to say whether hair loss was due to Nexplanon or another cause. If you have hair loss after having Nexplanon implanted, talk with your doctor or pharmacist. They can review your medical history and any medications you may take to try to determine what’s causing the hair loss. Your doctor may recommend treatment for hair loss. They may also discuss removing your Nexplanon implant if this side effect is bothersome to you. Nexplanon is a hormonal birth control implant prescribed to females* who want to prevent pregnancy. It’s a long-term, reversible form of birth control. The implant is approved by the Food and Drug Administration (FDA) for up to 3 years of use. But you can have the implant removed before that time if you wish. To help prevent pregnancy, Nexplanon may be prescribed to anyone of reproductive age. A female should not get Nexplanon before their first period. Nexplanon helps prevent pregnancy by:
* In this article, we use the term “female” to refer to someone’s sex assigned at birth. For information about the difference between sex and gender, see this article. Costs of prescription drugs can vary depending on many factors. These factors include what your insurance plan covers and the healthcare facility where you have Nexplanon inserted. If you have questions about how to pay for your prescription, talk with your doctor or pharmacist. You can also check out this article to learn more about saving money on prescriptions. Your doctor will recommend the dosage of Nexplanon that’s right for you. Below are commonly prescribed dosages, but the dosage you receive will be determined by your doctor. FormNexplanon comes as an implant placed just under the skin. Recommended dosageThe Nexplanon device is approved by the Food and Drug Administration (FDA) for up to 3 years of use. If you’d like to continue with Nexplanon, your doctor can insert a new device after removing your old one. It’s recommended that you see your doctor to have Nexplanon removed 3 years after it was inserted. You should do this regardless of whether you wish to keep using Nexplanon. If you’re interested in having Nexplanon removed sooner than this, talk with your doctor. Questions about Nexplanon’s dosageBelow are some common questions about Nexplanon’s dosage.
Certain factors can affect whether Nexplanon is a good birth control option for you. These include your overall health, any medical conditions you may have, and any medications you may take. Below are some of the factors to discuss with your doctor when deciding whether to get Nexplanon. InteractionsTaking a medication with certain vaccines, foods, and other things can affect how the medication works. These effects are called interactions. Before receiving Nexplanon, be sure to tell your doctor about all medications you take, including prescription and over-the-counter kinds. Also, describe any vitamins, herbs, or supplements you use. Your doctor or pharmacist can tell you about any interactions these items may cause with Nexplanon. Interactions with drugs or supplementsNexplanon can interact with several kinds of drugs. These drugs include:
This list does not contain all kinds of drugs that may interact with Nexplanon. Your doctor or pharmacist can tell you more about these interactions and any others that may occur with Nexplanon. WarningsNexplanon may not be right for you if you have certain medical conditions or other factors that affect your health. Talk with your doctor about your health history before you receive Nexplanon. Factors to consider include those in the list below.
Nexplanon and alcoholThere are no known interactions between Nexplanon and alcohol. If you have questions about Nexplanon and alcohol, talk with your doctor. Pregnancy and breastfeedingThe Nexplanon implant is used to help prevent pregnancy. You should not receive it during pregnancy. Nexplanon is highly effective for preventing pregnancy. But there’s still a very small risk that you could become pregnant while you have Nexplanon implanted. If you do become pregnant after receiving Nexplanon, your doctor will remove the implant. Nexplanon is likely safe to have implanted while breastfeeding. Small amounts of the drug have been found in breast milk. But the drug is not known to cause side effects in a child who is breastfed. Note that Nexplanon can decrease the amount of milk you produce. If you have questions about Nexplanon and pregnancy or breastfeeding, talk with your doctor. Overdose can occur if you have more than one Nexplanon implant inserted at a time. But this is unlikely to happen when Nexplanon is inserted by a healthcare professional. If you think you have more than one Nexplanon implant inserted, immediately notify your doctor. If you’re considering Nexplanon for birth control, talk with your doctor or pharmacist. Asking them questions may help you feel comfortable about choosing this method of birth control. Here are some examples to get you started:
To learn more about choosing a birth control method that’s best for you, check out this article:
Disclaimer: Healthline has made every effort to make certain that all information is factually correct, comprehensive, and up to date. However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. You should always consult your doctor or another healthcare professional before taking any medication. The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses. How long does it take for your body to go back to normal after Nexplanon removal?Return to ovulation. In clinical trials, pregnancies were observed to occur as early as 7 to 14 days after removal. In clinical trials with the non-radiopaque etonogestrel implant (IMPLANON®), the etonogestrel levels in blood decreased below sensitivity of the assay by one week after removal of the implant.
What happens to your body after Nexplanon removal?Your arm may swell a little. There could be some bruising in the area that might last a couple weeks. But generally, you should feel fine after they remove your implant. Any side effects that you had with Nexplanon -- like weight gain, headache, acne, and mood swings -- might ease once the implant is gone.
How long does it take for implant to leave your system?It releases the hormone progestogen into your bloodstream to prevent pregnancy and lasts for 3 years.
How long do hormones last after implant removal?Since the implant releases a small, continuous stream of progestin into the body over the course of the three years, once removed, your body immediately goes back to it's original fertility range and periods return to normal.
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