Are you tired of worrying about missing a pill or dealing with inconvenient contraceptive methods? If so, consider the contraceptive implant (Nexplanon). Let’s discuss everything you need to know. This article will guide you through the science behind it, how it alters menstrual cycles, and why it’s highly effective. Plus, be sure to read questions other readers like yourself submitted below. So ready to simplify your life? Let’s get started!
Key Takeaways
- The contraceptive implant releases the hormone progestin to prevent pregnancy by stopping ovulation, thickening cervical mucus, and thinning the uterine lining.
- It is over 99% effective, making it one of the most reliable birth control methods.
- The implant lasts up to 3 years.
- The implant may cause changes in menstrual cycles, including lighter periods, no periods, or irregular bleeding.
- Always consult your healthcare provider to discuss side effects, benefits, and if the implant is suitable for you.
What is a Contraceptive Implant?
A contraceptive implant is a small, flexible rod inserted under the skin of your inner, upper arm. About 1.6 inches long and nearly an eighth of an inch thick, it resembles a matchstick. The most commonly used brand is Nexplanon. Its insertion is a straightforward procedure done by a healthcare provider.
How Does the Contraceptive Implant Work?
Hormonal Mechanism
The implant releases a steady dose of the hormone progestin into your bloodstream. Progestin serves multiple roles in preventing pregnancy.
Effects on Ovulation
Firstly, it halts ovulation, which is the process your ovary undergoes to release an egg. Without ovulation, there’s no egg to be fertilized by sperm.
Effects on Cervical Mucus
The implant also thickens cervical mucus. This thicker mucus makes it more challenging for sperm to swim through and reach any egg that might still be released.
Effects on Uterine Lining
Lastly, the implant thins the lining of your uterus. A thinner lining makes it less likely for any fertilized egg to implant and develop into a pregnancy.
How Effective is the Contraceptive Implant?
The implant boasts a success rate of over 99% in preventing pregnancy, making it one of the most effective forms of contraception. For context, birth control pills are effective about 91% of the time, and injections are around 94% effective. The implant is on par with IUDs in terms of efficacy.
How Long Does the Contraceptive Implant Last?
The contraceptive implant is officially approved for three years of use. If it’s not replaced after three years, its effectiveness may decrease, so timely replacement is crucial.
What Happens if You Don’t Get the Implant Removed After 3 Years?
Leaving the implant in longer than three years can reduce its effectiveness. If this happens, you’ll need to use additional contraception methods like condoms until you replace the implant to ensure effective pregnancy prevention.
Does the Implant Stop Your Period?
The contraceptive implant can alter menstrual cycles, but it doesn’t stop periods for everyone. Some individuals may experience no bleeding, while others might have irregular or more prolonged bleeding.
Can You Still Get Pregnant with the Implant?
Although extremely rare, pregnancy is possible with the implant. Fewer than 1 in 1,000 users will become pregnant over a three-year period. It offers immediate protection if inserted within the first five days of your menstrual cycle. Otherwise, you should use additional contraception for the first seven days.
What Happens to Your Eggs When You Have the Implant?
The implant primarily prevents ovulation, which means your ovaries don’t release eggs regularly. This mechanism effectively prevents pregnancy.
How Does the Breast Feel After the Implant?
The implant doesn’t affect breast tissue or cause breast-related symptoms directly. If you notice any changes, it’s best to discuss them with your healthcare provider.
Is the Implant Safer Than Condoms?
While the implant is highly effective at preventing pregnancy, condoms also offer protection against sexually transmitted infections (STIs). Condoms prevent pregnancy with around 87% effectiveness, compared to the implant’s 99%.
For comprehensive protection, consider using both.
What Happens During the Insertion and Removal of the Implant?
Insertion Process
- Local anesthesia numbs your upper arm.
- Your healthcare provider inserts the implant just under the skin.
- You’re immediately protected if it’s inserted during the first five days of your cycle; otherwise, additional contraception is needed for seven days.
Removal Process
- Local anesthesia numbs the area again.
- A small incision is made to remove the implant.
- You may experience slight soreness or tenderness after removal, but this usually subsides quickly.
People Also Asked
The IUD and implant are both highly effective, long-term contraception options with different mechanisms. The implant is a small rod placed under the skin of your arm and releases progestin to prevent pregnancy, while the IUD is placed in the uterus and can be hormonal or non-hormonal. The “better” option depends on your personal health, preferences, and lifestyle. The implant is great for those who prefer not having to worry about a device inside the uterus, while the IUD may be a better choice for those who prefer localized contraception or need a non-hormonal option. Both options have over 99% effectiveness in preventing pregnancy
The contraceptive implant doesn’t typically cause dryness, but some users report experiencing changes in mood or body chemistry, which may affect things like libido or vaginal moisture. The primary hormonal change with the implant is a steady release of progestin, which can affect menstrual cycles or cause other mild side effects. If dryness or discomfort is a concern, it’s worth discussing with your provider, as they can help determine the best solution for your needs.
Nexplanon releases the hormone progestin into your bloodstream. Generally progestin:
1. Stops ovulation: Prevents your ovaries from releasing an egg.
2. Thickens cervical mucus: Makes it harder for sperm to reach the egg.
3. Thins the uterine lining: Hinders the implantation of a fertilized egg.
Nexplanon boasts over 99% effectiveness in preventing pregnancy, outperforming birth control pills (91%) and injections (94%). It’s as reliable as intrauterine devices (IUDs).
No, you should not attempt to remove your contraceptive implant yourself. Removal requires a medical professional to ensure it’s done safely and properly. Your healthcare provider will make a small incision and remove the implant, which is typically a quick and straightforward procedure. Always consult your provider for safe and effective removal.
Still have questions?
Don't worry, you are not alone. Remember that we are here to help and support you. Your well-being is important to us, and we're committed to assisting you through any challenges you may be facing. Besides, having questions is a good and healthy thing! Check out our additional resources below:
- Prefer reading? Here's an article from ACOG (The American College of Obstetricians and Gynecologists) on the matter.
- Rather watch or listen? Here's a video of Nelly, one of our esteemed providers, discussing the topic.
- For general questions? Reach us via any contact methods listed at the bottom of this page (live chat, email, text messages, or call).
- For specific medical questions or advice, it's always best to schedule an appointment.
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