Contraceptive implants are among the most effective birth control methods, with a failure rate of less than 1%. Their long-lasting protection and low maintenance make them popular for individuals seeking reliable pregnancy prevention without daily effort. However, like any birth control method, implants come with both advantages and potential drawbacks.

Nexplanon, a widely used contraceptive implant, offers up to three years of highly effective pregnancy prevention. Inserted just under the skin of the upper arm, it provides a discreet and hassle-free option for many users. While Nexplanon has numerous benefits, it’s essential to weigh its pros and cons before deciding if it’s the right choice.

In this article, we will explore the complete list of Nexplanon’s pros and cons, helping you make an informed decision about this contraceptive option.

Key Takeaways

  • Nexplanon provides over 99% protection against pregnancy, making it one of the most reliable birth control options.
  • The implant lasts up to three years, eliminating the need for daily maintenance or frequent refills.
  • Nexplanon is a progestin-only contraceptive, making it suitable for individuals who cannot use estrogen-based methods.
  • A healthcare professional must perform both insertion and removal procedures, which are quick but require medical expertise.
  • Users may experience irregular bleeding, mood changes, or headaches, especially in the first few months.
  • Nexplanon does not protect against sexually transmitted infections, so additional protection may be needed.

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Pros of Using Nexplanon

Nexplanon is a highly effective, long-lasting contraceptive option that provides numerous benefits for individuals seeking reliable pregnancy prevention. It contains a progestin hormone that prevents pregnancy by inhibiting ovulation, thickening cervical mucus, and thinning the uterine lining. Key advantages of Nexplanon include:

Negative pregnancy test
  • Over 99% Effectiveness: One of the most reliable birth control methods, Nexplanon provides over 99% protection against pregnancy.
  • Long-Term Protection: Offers up to three years of continuous pregnancy prevention without requiring frequent refills.
  • No Daily Maintenance: Unlike birth control pills, Nexplanon works automatically once inserted, eliminating the need for daily action.
  • Quick Return to Fertility: Fertility typically returns within a month after removal, making it a flexible option for future family planning.
  • Progestin-Only Formula: Ideal for individuals who cannot use estrogen-based contraceptives due to health concerns or personal preference.
  • Discreet Size: Roughly as small as a matchstick (4 cm long), Nexplanon’s size makes it easy to insert and is virtually unnoticeable under the skin.

Cons of Using Nexplanon

While Nexplanon offers many advantages, it’s essential to consider potential drawbacks before choosing this method. Some users may experience side effects or challenges related to its use. Here are the main cons to be aware of:

cold compress
  • Hormonal Side Effects: Many users experience irregular bleeding, mood swings, headaches, or weight gain, particularly in the first few months.
  • Insertion and Removal: Nexplanon requires a healthcare professional to insert and remove, which can be inconvenient, uncomfortable, or costly.
  • Initial Irregular Bleeding: Users often experience unpredictable bleeding or spotting, especially during the first few months, which can be frustrating.
  • No STI Protection: Like most hormonal methods, Nexplanon does not protect against sexually transmitted infections (STIs).
  • Possible Displacement: Although rare, Nexplanon can shift or become dislodged, affecting its effectiveness and requiring medical attention for repositioning.

While Nexplanon provides effective, long-term contraception, its potential side effects and need for professional insertion/removal may not suit everyone.

Insertion and Removal Process

The insertion and removal of Nexplanon are medical procedures that a trained healthcare professional must perform. While both processes are quick, they require precision to ensure safety, comfort, and effectiveness. Here’s an overview of the steps involved:

Insertion Process

  • Consultation and Preparation: The doctor will assess your health and explain the procedure.
  • Anesthesia: To minimize discomfort, the area of insertion, usually the upper arm, is numbed with a local anesthetic.
  • Implant Insertion: Nexplanon is placed just under the skin using a small needle. The insertion takes only a few minutes.
  • Post-Insertion Care: After insertion, the doctor will monitor the site for a few minutes to ensure proper placement and address immediate concerns.

Removal Process

  • Consultation and Preparation: Your doctor will review your medical history and assess if you’re ready for removal.
  • Anesthesia: The insertion site is numbed using a local anesthetic, similar to the insertion process.
  • Implant Removal: A small incision is made near the implant and carefully removed. This process typically takes just a few minutes.
  • Post-Removal Care: The incision is closed with a bandage, and you’ll be given instructions on how to care for the area to prevent infection.

The insertion and removal of Nexplanon are minimally invasive procedures that only take a few minutes. However, a qualified healthcare professional must perform them to ensure proper placement, effectiveness, and safety. Proper care during these steps helps prevent complications like unintended pregnancy or infection, providing a smooth experience for the patient.

Balancing Advantages and Disadvantages

To balance Nexplanon’s pros and cons, it’s important to weigh the benefits and potential drawbacks based on your health and lifestyle. Consider factors like convenience, effectiveness, and any possible side effects. Reflect on your comfort with long-term contraception and how it aligns with your daily routine. 

Thinking about your medical history and discussing any concerns with a healthcare provider is essential. Finding a balance involves making an informed decision that works for your body, preferences, and plans, ensuring the choice fits your health needs and lifestyle goals.

Conclusion

Nexplanon offers a highly effective, long-term contraceptive solution for individuals seeking reliable pregnancy prevention without daily effort. Its small size, discreet placement, and progestin-only formulation make it an excellent choice for many users. However, like any birth control method, it has potential downsides, including possible side effects and the need for professional insertion and removal.

By weighing Nexplanon’s pros and cons, individuals can make an informed decision based on their health, lifestyle, and family planning goals. Consulting a healthcare provider ensures that Nexplanon is the right fit and provides the best contraceptive experience for each user.

FAQs

1. How does Nexplanon work?

It releases progestin to prevent ovulation, thicken cervical mucus, and thin the uterine lining.

2. How is Nexplanon inserted?

A healthcare provider places the implant just under the skin of your upper arm.

3. What should I do if I miss a period with Nexplanon?

Missing a period is common, but if you’re concerned, take a pregnancy test or consult your healthcare provider.

4. Does Nexplanon protect against STDs?

No, Nexplanon does not protect against sexually transmitted infections. Use condoms for additional protection.

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References

What is the Effectiveness of the Birth Control Implant? Planned Parenthood. https://www.plannedparenthood.org/learn/birth-control/birth-control-implant-nexplanon/how-effective-is-the-birth-control-implant

World Health Organization. Family planning/Contraception. Who.int. Published 2023. https://www.who.int/news-room/fact-sheets/detail/family-planning-contraception The pros and cons of long-acting reversible contraceptives: IUD vs. Nexplanon implant. Premier Women’s Care of Southwest Florida. https://www.pwcswfl.com/blog/the-pros-and-cons-of-long-acting-reversible-contraceptives-iud-vs-nexplanon-implant