Ttc After Nexplanon Removal
I had my Nexplanon removed yesterday. Ive been taking the pill since Monday to cover myself but to be honest, were thinking of TTC anyway so I might just ditch the pill and go cold turkey. Do you have to wait until your first AF after you have your implant removed until youre considered fertile or are you good to go as soon as its out? Im starting to worry about my fertility returning as Ive seen so many women say its taken them months, even years to get pregnant again after the implant. If anyone has any advice or experience they could share, that would be great!!
Hi. I had mine removed on 7th Nov as we are ttc. I had regular bleeding in my last year of implant so based on that I expected AF on 21/11 but only had some spotting. Even thought I might have been pregnant but nope. Now on day 40 based on Ovia & think I will soon ovulate based on OPKs so at least I know things are working now. I think everyone is different but thats my story.I would suggest OPKs just to learn what your body is doing.Good luck, here if you have questions.
Thanks for your reply Im getting really anxious that Ive mucked up my fertility. I was on Nexplanon for about 18 months and had regular spotting for most of the time. Do you think its best to stop taking the pill so I can try and get my body back to normal and try and chart my ovulation? I just have this feeling that its not going to be an easy ride for me
What Can Make Nexplanon Ineffective
The common antibiotics a doctor or nurse gives you will not affect your Nexplanon. Antibiotics for TB and antibiotics to treat or prevent meningitis can affect Nexplanon as can some drugs used to treat epilepsy and HIV. The complementary medicine St Johns Wort can also make Nexplanon less effective.
How Long Does The Implant Last And Can You Get Pregnant On Nexplanon If It Has Expired
Nexplanon can be used for three years, at which point it should be replaced to maintain its effectiveness. We recommend contacting your GP or sexual health clinic to discuss the replacement of your contraceptive implant prior to the date it is due to be replaced . Due to Covid-19 restrictions you may not be able to attend for a face to face appointment to replace your implant. There is some evidence to say the implant remains effective up until four years, but a discussion with your doctor or nurse will help you work out what is best for you.
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Side Effects Of Nexplanon
There are certain side effects attached to the usage of the Nexplanon implant. The signs may be rare, but some people may experience some deadly side effects of the implant. The most commonly found side effects are irregular bleeding and weight gain. As per a study, bleeding irregularity is the highest rated side effect discovered as part of the procedure.
Other adverse reactions to follow included consistent pain, weight gain, acne, headache, emotional lability, and depression.
Along with this, there are other reactions that may demand medical help and advice. Some of them are as follows-
What Exactly Is Implanon
Implanon is a small rod of flexible plastic. It looks just like a matchstick from one of those matchbooks people collect from restaurants. It is 4 cms long and 2 mms wide and small enough to be very disceet when it is in place, inserted just under the womans skin. The plastic rod is infused with etonogestrel which is a synthetic female hormone, very similar to progesterone. And it is this hormone which prevents conception from occurring. Etonogestrel is slowly released into the bloodstream from the rod for about three years, after which time it either needs to be removed or a new one inserted.
Implanon cannot dissolve and wont travel anywhere until it is removed. It also contains a small amount of barium sulphate which makes it clearly visible on x-ray. Very occasionally, it is necessary for women to have an x-ray or ultrasound so that the exact location can be found.
It is important that the Implanon is easily felt under the skin. This means it can be easily located and seen as a slightly raised rectangular rod just under the surface of the skin. Implanon is most commonly inserted just above the elbow joint, on the inside aspect of the upper arm.
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When It Starts To Work
You can have the implant put in at any time during your menstrual cycle, as long as youre not pregnant.
If the implant is fitted during the first 5 days of your menstrual cycle, youll be immediately protected against becoming pregnant.
If its fitted on any other day of your menstrual cycle, youll need to use additional contraception for 7 days.
What Are The Chances Of Pregnancy After Implant Removal
Like the combined pill and other contraceptive methods, the implant has no impact on your fertility. Once the contraceptive implant is removed, your normal level of fertility will return and you may be at risk of pregnancy. The only contraceptive that shows a link between delaying return to fertility after use is the injection but dont worry, its only short-term. After 2 years there is no significant difference in pregnancy rates when compared with users of non-hormonal contraception.
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Are There Any Side Effects From Using The Implant
When the implant is first inserted and when it is removed, you may have some bruising and tenderness on your arm. This may last for up to a week. Wearing a bandage over your arm for 24 hours helps reduce bruising and tenderness. You may also develop a small scar where the implant was inserted and removed.
Your vaginal bleeding pattern will change. It might be more often and/or irregular . Around 20% of people using the implant will have no bleeding at all . Around 20% of people have frequent or prolonged bleeding which may get better with time. Some medications can help with this bleeding, speak to your doctor or nurse for more information.
Other possible side effects for a small number of users can include:
- headaches
- sore/ tender breasts
- mood changes.
These side effects often settle with time. The implant has not been shown to cause weight gain.
If Youre Under 16 Years Old
Contraception services are free and confidential, including for people under the age of 16.
If youre under 16 and want contraception, the doctor, nurse or pharmacist wont tell your parents as long as they believe you fully understand the information youre given, and your decisions.
Doctors and nurses work under strict guidelines when dealing with people under 16. Theyll encourage you to consider telling your parents, but they wont make you.
The only time a professional might want to tell someone else is if they believe youre 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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What Is It And How Does It Work
The contraceptive implant is a small flexible plastic rod that is inserted under the skin of your upper arm. The implant works by releasing a hormone called progesterone which stops the release of an egg from the ovaries. It also works by thickening the mucus from the cervix making it difficult for the sperm to fertilise the egg. Implants can also work by stopping the fertilised egg from implanting in the uterus. The implant can work for up to three years.
Women prefer to have an implant fitted so they dont need to worry about taking contraception every day.
The implant can be removed at any time of your menstrual cycle and your fertility will return to normal once it is removed.
The contraceptive implant does not protect you from sexually transmitted infections, so please make sure you are tested regularly. Please see our website for more details, or ask our friendly booking team.
Where Do I Go To Get My Implanon Removed
It is important for women who have Implanon inserted to keep a mental and physical record of when it was inserted in the first place. As the three years approaches, plans can be made for its removal or replacement.
Your General Practitioner or local Family Planning Clinic will be able to remove the Implanon device. Health care practitioners need to be trained in the removal of Implanon and although it is not a complex procedure, this still requires a degree of skill.
If the Implanon is not clearly visible under the skin, it is important to seek a health care practitioner who has skills in more complicated removal. If you are planning to have another one inserted immediately, then it is possible to use the same cut in the skin. It only takes 10-15 minutes to carry out the removal procedure.
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What Could Cause Pregnancy
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How Soon Can You Get Pregnant
This is a different question just because your fertility has returned doesnt mean pregnancy will happen right away.
This can be a really odd experience for someone who has spent years preventing pregnancy. You might assume that without birth control, you would have conceived immediatelybut thats not entirely accurate.
Once you stop contraceptives, you may conceive the very first fertile month, or you may need to try for up to a year. This is the same as for those who have not used any birth control.
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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
How Does It Feel To Get The Birth Control Implant Removed
Nexplanon removal only takes a few minutes, but the process is a little longer than getting it put in.
Just like with the insertion, a doctor or nurse gives you a shot to numb a small area of your arm. Then they make a small cut and remove the implant. You usually just feel a little pinch or stinging when you get the numbing shot. After that, it shouldnt hurt when they make the incision or take the implant out.
If you want to continue using Nexplanon, you can get another implant put in during the removal of your old one.
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Myth: Getting An Implant Is Painful And Could Cause Infection
Some women who seek family planning believe that the insertion of implants requires surgery or that insertion is painful and causes infection. They may also have misconceptions about the removal of implants.
Fact: No stitches, no noticeable scar, and it can be removed at any time
Health professionals with specific training perform a minor surgical procedure to insert implants. The provider gives the patient an injection of local anesthetic under the skin of her arm to prevent pain while the implants are inserted. This injection may sting. The woman remains fully awake during the procedure. Insertion takes an average of 4 to 5 minutes for Norplant, 2.5 minutes for Jadelle, and 1.5 minutes for Implanon. Insertion can take more or less time, depending on the skill of the provider.
The incision is small and stitches are not required. In most cases, insertion does not leave a noticeable scar. Once inserted, the outline of the implants underneath the skin can be felt and sometimes seen. The woman may have bruising and feel pain or soreness for a few days afterward.
Infection at the insertion site can occur, but is uncommon. When infection occurs, it is usually within the first two months after insertion. In rare cases, implants may start to come out of the skin. When this occurs, it is usually due to improper insertion or infection.
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What Happens If You Leave Nexplanon In Longer Than 3 Years
You should avoid playing with the rod after insertion to prevent it from moving from its original position. Implanon NXT should be removed or replaced no later than three years after insertion. Failure to do so may increase your risk of ectopic pregnancy. Removal requires a small incision under local anaesthetic.
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Myths And Facts About Implants
This page was originally published in 2012 and has since been updated.
Contraceptive implants are thin, small , flexible rods which are implanted under the skin of the upper arm by a doctor or a nurse. They are 99% effective in preventing pregnancy.
The implant rods contain progestins which are steadily released into the womans bloodstream. Progestins are like the hormone progesterone, which is produced naturally within a womans body.
The continuous release of progestins stops a woman releasing an egg every month , and thickens the mucus from the cervix , making it difficult for sperm to pass through to the womb and reach an unfertilized egg.
Implants protect against pregnancy soon after as they have been inserted. Depending on the type of implant, they last between 3-5 years, but can be removed at any time. Fertility returns when the implant is removed.
Some women experience side effects form implants. It is common, but not harmful, to experience changes in menstrual bleeding patterns. Other possible side effects include abdominal pain, headaches, breast tenderness and acne. Side-effects often diminish over time, especially after the first few months to a year of use, but if you are concerned about side effects, you should go and talk to your provider.
When fitting the implant, a local anaesthetic is used to numb the area. It makes a small wound in the arm, which is closed with a dressing and does not need stitches.
How Is It Inserted
An area on the inner arm above the elbow is first numbed with local anaesthetic. Then the doctor or nurse puts the implant under the skin. After the implant is inserted, a band aid or dressing is put on which should stay on for 3-5 days. The arm is bandaged to reduce bruising and this should be left on for 24 hours.
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How Long After Implanon Removal To Get Pregnant
| Barrier methods | Can get pregnant immediately once stop using barrier method |
| Combination hormonal methods | Get pregnant right away after stopping the use of regular dose |
| Progestin-only hormonal methods | 3 to 18 months to get pregnant after the implant removal |
| Intrauterine devices | Fertility returns after first menstrual cycle |
The answer to this question is dependent on many factors, but one thing anyone knows is that you can get pregnant very quickly. Many people who use Implanon get pregnant within a few months of getting the implant removed.
However, some women take longer than that or dont have much success in conceiving after removing an Implanon. Other considerations include naturally slower conception rates due to age . In addition, stress, smoking, even conditions like hyperthyroidism and PCOS can be indirect causes of fertility issues when they are present with ovulatory disorders and menstrual irregularities.
Implanon removal surgery is a procedure done to remove the implant from the womans body safely.
Dont hesitate to contact your doctor or healthcare provider for more information, and make sure you are fully informed before making any commitment. The most common side effect is usually just an itchy feeling in the same arm that the implant was inserted until it heals up. The discomfort should disappear once healed and can generally be avoided by taking ibuprofen.
