Do You Need To Pull Out With Nexplanon
He or she will then use a scalpel to make a small incision near the site of the implant. Procedural instruments are then used to locate and remove the implant. A new Nexplanon can be inserted at this time if you want to continue using this form of contraception. Nexplanon must be removed on or before the 3-year mark.
What To Do If You Cant Feel The Nexplanon Implant
If you cannot feel the NEXPLANON implant, contact your healthcare provider immediately and use a non-hormonal birth control method until your healthcare provider confirms that the implant is in place. You may need special tests to check that the implant is in place or to help find the implant when it is time to take it out.
What Are The Disadvantages
- You might have irregular periods or periods that last longer. This is quite common in the first 6 months but it can last as long as you use the implant. This can be annoying, but its not harmful and the implant will still work. If the bleeding is a problem, you can get pills to help.
- You might have a sore or bruised arm after the implant is put in or taken out. There is a small risk of infection
- Sometimes its not easy for the nurse or doctor to find the implant and you might have to see someone else to take it out.
Can I Get Pregnant After Implant Removal
Once the contraceptive implant is removed your normal fertility will return to normal and you may be at risk of pregnancy. If you would like to learn more about the process of removing the implant, then check out our full guide on contraceptive implant fitting and removal.
If youre looking for further information on this form of contraception, then our blog on the contraceptive implant everything you need to know covers fitting and removal plus pros and cons of this method of contraception.
Faculty of Sexual and Reproductive Health
Reviewed and edited on 04/02/21in line with our content policy.
This guide was brought to you by The Lowdown. We are the worlds first contraception review platform, providing real-life experiences from thousands of reviews collected from our community of men and women.
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How Do You Get It
A person needs to visit a doctors office to have the flexible tube inserted into their upper arm. People interested in having a Nexplanon implant should make sure that the doctor has experience in performing the procedure.
During the procedure, the doctor will make a small incision with a tool designed to insert Nexplanon. The procedure only takes a few minutes and does not require any downtime.
The doctor can insert the device at the same time as they remove an old one. To remove the device, they will administer a local anesthetic to the area, make a small incision underneath the implant, and grip the device with forceps to gently pull it out.
A range of healthcare professionals and birth control services offer Nexplanon and other contraceptive options online.
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Will Other Medicines Affect The Implant
Some medicines can make the implant less effective, such as:
- medicines for HIV, epilepsy and tuberculosis
- complementary remedies, such as St John’s Wort
- some antibiotics, such as rifabutin or rifampicin
If you’re taking any of these medicines, you’ll need additional contraception , or you may wish to use a different method of contraception that isn’t affected by your medicine.
Always tell your doctor that you’re using an implant if you’re prescribed any medicine. You can also ask them whether the medicine you’re taking will affect the implant.
When To See A Doctor
Women should speak to a doctor as soon as possible if they suspect that they are pregnant or have had a positive result on a pregnancy test while on birth control.
Conversely, if a woman misses a period and gets a negative pregnancy test result, she should also seek medical advice unless she is taking a form of birth control that prevents regular periods.
Although they are rare, false negatives are possible. There may be other underlying conditions causing missed periods or other pregnancy symptoms.
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How Effective Is The Implant
The implant is one of the best birth control methods out there its more than 99% effective. That means fewer than 1 out of 100 people who use Nexplanon will get pregnant each year. It doesnt get much better than that.
The implant is so effective because there’s no chance of making a mistake. Since its in your arm, you cant forget to take it, or use it incorrectly. It protects you from pregnancy all day, every day for up to 5 years. If you decide you want to get pregnant, a nurse or doctor can take it out and you can get pregnant right away.
The implant doesnt protect you from STDs, so use condoms along with the implant to help protect you from both pregnancy and STDs. Thats how you make sex worry-free.
How Long Does It Take For The Birth Control Implant To Work
If you get Nexplanon during the first 5 days of your period, youre protected from pregnancy right away.
If you get the implant at any other time in your cycle, use some other form of birth control during the first week. After that first week, the implant starts working and youre protected from pregnancy for up to 5 years. Thats why its called get-it-and-forget-it birth control.
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What Else Should I Know About The Implant
- The implant does not protect you from sexually transmissible infections .
- It is good to record the date or enter a reminder into your phone for when your implant is due to be removed. You will need to have it taken out before it expires . You can have a new implant inserted at the same time the existing one is being removed
- The implant is one of many types of contraception. See other contraceptive options
You might be interested in watching:
How To Get The Nexplanon Birth Control Implant
You must get Nexplanon from a doctor, gynecologist, or nurse practitioner whos familiar with the process of subdermally inserting or removing the implant. Nexplanon isnt available through traditional pharmacies like many forms of birth control.
Talk to your healthcare professional to make sure Nexplanon is the best birth control option for you, keeping in mind the side effects and risks involved. The cost of the procedure can range from $0 to $1,300, depending on your insurance coverage. Removal of the implant can cost up to $300. Your insurance may cover both the procedure and the implant itself, but check with them first its usually considered a medical benefit. Most insurances cover the Nexplanon implant, its insertion, and removal. If your insurance does not pay for it, you may contact the CoverHer program at nwlc.org/coverher for assistance.
You may be able to get Nexplanon for free or at a discounted rate at certain health centers. In the end, the birth control implant may be as expensive or even less expensive as what youd pay for other forms of birth control in the long run, depending on your insurance coverage. You can also use SingleCare for discounts on Nexplanon at some specialty pharmacies. Youll also find SingleCare discounts for other forms of birth control, such as the NuvaRing, the Xulane patch, the Depo-Provera shot, the combination birth control pill, and the minipill.
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Where To Get More Information
- Your local doctor
- Womens Welcome Centre Tel: 8345 3037 or 1800 442 007
- Family Planning VictoriaTel: 9257 0116. If you are under 25, you can also call the Action Centre 9660 4700 or 1800 013 952
Information about long acting reversilble contraception , including contraceptive implants, is also available in Arabic, Chinese, Hindi and Vietnamese see section on this page.
How Is Nexplanon Inserted
The insertion process for Nexplanon is very simple, straightforward, and relatively painless. It is considered a minor procedure, but your healthcare provider can do it in their office, and it only requires a local anesthetic.
After thoroughly cleaning the area with an antiseptic, your provider will numb the area of your upper arm where she will insert the implant. Once youre numb, your provider will use a special applicator to insert the implant under the skin in your upper arm. The implant insertion process only takes a few minutes, and while you may feel a slight pinch or stinging feeling when the implant goes in, it shouldnt be too painful.
The doctor will make sure its implanted correctly before sending you home. Youll need to wear a pressure bandage on the implant site for the next 24 hours, and then a regular bandage for a few more days. During this time, youll need to avoid heavy lifting or exercising to prevent disturbing the implantation site healing.
Some healthcare providers will only schedule your insertion during the first five days of your period if so, Nexplanon will provide birth control immediately. If you do not get the birth control implant during the first five days of your period, you should use a secondary birth control measure, such as external condoms, for the first week after getting the implant. Your healthcare provider should require you to take a pregnancy test beforehand.
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Who Can Use Implantable Contraception
Girls who want long-term protection against pregnancy may be interested in implantable contraception.
Not all women can or should use the implant. Some health conditions make it less effective or more risky to use. The implant is not recommended for those who have had:
- blood clots
- unexplained vaginal bleeding
- some types of cancer
Girls who have diabetes, migraine headaches, depression, high cholesterol, high blood pressure, gallbladder problems, seizures, kidney disease, or other medical problems should talk with their doctor.
Anyone who thinks she might be pregnant should not have a contraceptive implant inserted.
When Does The Contraceptive Implant Start Working To Protect Against Pregnancy
The implant can be inserted any time during your menstrual cycle. If the implant is inserted at the beginning of your menstrual cycle then you should be protected against pregnancy immediately.
If the contraceptive implant is fitted on any other day of your menstrual cycle then you will need to ensure that you use another method of contraception such as condoms for 7 days.
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What Is The Nexplanon Implant
Nexplanon is a small, thin, flexible, and matchstick-sized plastic implant device that is placed underneath the skin of your inner upper arm. If you are right-handed, doctors place it in the left arm and vice versa. It is considered a long-acting birth control option for women, to prevent pregnancy for up to 3 years and must be removed after 3 years.
The implant continuously releases a hormone, progestin , that stops an egg from being released from your ovary, prevents sperms from reaching the egg, and changes the linings of your womb. It also contains a small amount of barium sulfate for its better visibility under X-ray.
Does Nexplanon Lose Effectiveness Over Time
Nexplanon prevents pregnancy by continually releasing a low dose of progestin over a three-year period. The amount of progestin released slowly decreases over time. By the end of the third year, the dose released is too small to prevent pregnancy, which is why the implant must be removed at that time.
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Getting Pregnant On Nexplanon
Although the chances of getting pregnant while on Nexplanon implantation is very rare, it is still possible. If you are pregnant while on Nexplanon than you have higher chances that you pregnancy will be ectopic than the women who do not use birth control. Ectopic pregnancy occurs when the fertilized eggs gets attached to any place other than the uterus .
The symptoms of an ectopic pregnancy are vaginal bleeding which is heavier or lighter than your usual period, sharp or stabbing pain that will come and go and vary in intensity usually in the abdominal or pelvis region. Ectopic pregnancy can cause serious internal bleeding, infertility and even death. It is highly advised to contact you health care provider if you think you might be pregnant.
Are There Any Side Effects From Implantable Contraception
Contraceptive implants can sometimes cause such side effects as:
Some of these side effects may go away after a few months.
Sometimes there can be irritation, infection, or scarring where the tube was placed.
Implantable contraception increases the risk of blood clots. Blood clots can lead to serious problems with the lungs, heart, and brain. Smoking cigarettes while using the implant can increase the risk of blood clots. Don’t smoke if you use implantable contraception or another form of hormonal birth control.
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Where To Get More Information And Support
If you are using the internet for information, only use reliable and reputable websites, such as the ones provided above.
This website and any related materials are for general information purposes only and should not be relied on as medical or other professional advice. You should seek specific medical or professional advice for your individual circumstances.
The copyright for material on this website is owned by Family Planning Victoria and is subject to the Copyright Act 1968. We permit you to reproduce or communicate our copyright material if you are a not-for-profit educational organisation, for the purpose of providing the information to your students provided that you include any disclaimers associated with that material. Any other reproduction or communication of our material requires our prior consent, via our consent form which you can complete and submit.
28 May 2021
Family Planning Victoria acknowledges the Aboriginal and Torres Strait Islander people as the Traditional Owners of the land on which our offices stand and in the regions in which we provide our services. We pay our respects to Elders past, present and future.
Can You Ovulate On Nexplanon
Nexplanon is a hormone implant that prevents ovulation . This medication also causes changes in the cervical mucus and uterine lining making it harder for sperm to reach the uterus and harder for a fertilized egg to attach to the uterus.
The implant is very safe for most people but all medications have some risks and side effects. The doctor will figure out if the implant is safe or not. This is 99% effective.
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What Other Drugs Will Affect Nexplanon
Certain other medicines or herbal products may make etonogestrel less effective, which could result in pregnancy. You may need to use a non-hormonal form of back-up birth control while you are taking certain medicine, and for up to 28 days after stopping the medicine.
Tell your doctor about all your current medicines and any other medicines you start or stop using, especially:
How Long To Get Pregnant After Depo And Nexplanon
However, fertility usually resumes much quicker after coming off of Nexplanon Nexplanon This product is a small, thin plastic rod that is inserted under the skin to prevent pregnancy. The rod slowly releases etonogestrel into the body over a 3-year period. Etonogestrel is similar to a natural hormone made in your body. than it does after coming off of the Depo shot as it can take up to 18 months in that case for ovulation to start again!
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What Are The Benefits Of The Implant
As with any type of birth control method, implants have pros and cons.
- They work. Fewer than 1 in 100 women using an implant will get pregnant each year.
- Easy to use. Unlike some birth control options — like condoms, patches, shots, rings, and pills — the implant works no matter what. You don’t have to worry about using it incorrectly or remembering to replace or take it often.
- Fast reversal. If you want to get pregnant, you can get started on that right after you get the implant taken out.
- Less painful periods. In studies of women using implants, painful periods got better.
- Lighter or no periods. Your period might get shorter, or even stop completely.
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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Tldr Whats The Lowdown
- The implant is more than 99% effective so the chances of getting pregnant with the implant in your arm is fewer than 1 in 100
- You should be protected against pregnancy immediately if the implant in inserted into your arm during the first 5 days of your cycle any later and youll need to use a barrier method
- The implant can cause lighter or fewer periods which is why some women may be concerned they are pregnant dont worry, it is a common side effect!
- Certain medications can make the implant less effective so always ask your doctor or get in touch with the Lowdown contraceptive experts
- Nexplanon should be replaced after three years to maintain effectiveness
The contraceptive implant is a method of contraception that stays in the upper arm for three years perfect for those who dont want to have to remember to take a daily pill.
But how effective is it, and can you still get pregnant on the implant?
In short, the implant is more than 99% effective. This means that fewer than 1 in 100 women with the implant will get pregnant each year.
There are some other factors to consider when using the implant as contraception such as side effects and its use with other medication.
Below our medical experts answer your most common questions covering the below topics