Implant

Nexplanon

What the packet says

What is it?

Hormonal ingredients
What’s it made of?

The implant is made from a small soft flexible rod made out of ethylene vinylacetate copolymer (plastic)

How it works

The Implant is a small flexible plastic rod that’s placed under the skin in your upper arm by a doctor or nurse. It releases the hormone progestogen gradually into your bloodstream which prevents pregnancy in three ways - stopping ovulation, making the fluid in your cervix thicker (which makes it more difficult for sperm to enter the womb), and preventing the lining of your womb thickening enough for an embryo to grow in it.

How does this compare?

Frequency

  • During intercourse
  • Daily
  • Monthly
  • 1 - 3 Months
  • 1 - 3 Years
  • 3 - 5 Years
  • Permanent

Similar to

Clinical effectiveness

99% if used perfectly

What does this mean?

Contains hormones

  • Yes
  • No
What does this mean?

What you said

These stats are based on 237 reviews

Side Effects

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After Effects

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Moods & Emotions

Periods

Body Weight

Sex Drive

Reviewer data

Time Taken

Age of Reviewers

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Reviewers currently using

Detailed information

How to get started

  • Your doctor or nurse will do some tests to make sure that you can have the implant. They check your medical history, make sure that you’re not pregnant and take your blood pressure.
  • You can have the implant fitted at any time in your period cycle. If it’s fitted within the first five days of your cycle, you will be protected from pregnancy straight away. Any other time in your cycle and you’ll need to use condoms or other contraception for seven days.
  • You can have the implant fitted straight after giving birth, or after having an abortion or miscarriage.
  • It won’t hurt to it it. Your doctor or nurse will get you to lie down and inject you with a local anaesthetic to numb the part of your upper arm where the implant will be inserted. They use an applicator like pencil to put it in your arm – it only takes a few minutes to insert and feels similar to having an injection. You won’t need any stitches.
  • The doctor or nurse will then check your arm to make sure that the implant is in place. You’ll be shown how to feel the implant with your fingers so you can check this too.
  • They will put a dressing on it to keep it clean and dry – keep this on for a few days and try not to knock your arm. The area may be tender for a day or two and may be bruised and slightly swollen.
  • We recommend wearing a loose top and don’t expect to have an arm session at the gym the day after getting it fitted.

 

How to stop

  • You will need to go back to your doctor or nurse to get the implant removed – the procedure is fairly simple and only takes a few minutes. As soon as it’s removed you won’t be protected from pregnancy.
  • They will inject you with a local anaesthetic, then make a tiny cut in your skin and gently pull the implant out. They will put a dressing on the arm to keep it clean and dry and to help reduce any bruising.
  • Check out our survey results to see how long it took most women’s cycles to return to their definition of ‘normal’ after having the implant removed, and read about other after effects they’ve experienced.

Things that can go wrong

  • You should go back to your doctor if you can’t feel the implant, it feels like it’s changed shape; it becomes painful; or if you get pregnant. Occasionally your arm can get infected straight after the implant is fitted. If this happens you may need to take antibiotics, or get the implant removed.
  • Some medicines and antibiotics (like rifampicin and rifabutin, St John’s wort and anti-epilepsy drugs) can make the implant less effective. Always tell your doctor or pharmacist that you’re using the implant if you’re prescribed any medication. You’ll need to use condoms or additional contraception until you’re protected from pregnancy again.
  • Occasionally, the implant is difficult to feel under the skin and it may not be so easy to remove. If this happens, you may be referred to a specialist centre to have it removed with the help of an ultrasound scan.
  • With any combined type of hormonal contraception there is a slightly increased risk of developing blood clots in your veins and arteries. We are developing a full guide to the medical research on the serious and potentially life threatening side effects of contraceptives here.

Reviews

Implant

- Nexplanon

My emotions were all over the place and I had no sex drive – there was no need for birth control because I was just a wre…

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Implant

- Nexplanon

I had the implant removed due to massively increased appetite, and 10 pound weight gain, and depression to the point I wanted t…

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Implant

- Nexplanon

I’m using after 25 years of painful periods. I have just changed the implanon and I’m wearing the second one. First…

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Implant

- Nexplanon

Had the implant for roughly 2 and a half years, asked for it be removed a few months early.
Periods immediately stopped, …

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Implant

- Nexplanon

I lost my periods, which is great. They used to be really painful, but now I no longer have to skip school/work.
I gained…

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Implant

- Nexplanon

I have noticed very few side effects from the implant. It has made my periods more frequent but also lighter, and I like the fa…

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Implant

- Nexplanon

I felt very different, quite soon on this contraception. Low mood and no motivation. I was very tired and didn’t want to do a…

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Implant

- Nexplanon

I’m currently on my 4th implant. The first implant (back when it was Implanon) took ~6 months to settle but after that I had …

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Implant

- Nexplanon

After six months with the implant, my bleeds became excessively long – lasting between 6-8 weeks – with a 1-2 week …

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