For those considering long-term birth control options, Nexplanon is a popular choice. As a small, implantable device that offers up to three years of pregnancy prevention, Nexplanon is known for its convenience and effectiveness. However, like any medical decision, it’s essential to weigh the pros and cons and gather all relevant information before making your choice.
What Is Nexplanon?
Nexplanon is a small, flexible rod (about the size of a matchstick) that is inserted under the skin of your upper arm by a healthcare provider. It releases a hormone called etonogestrel, which prevents pregnancy by:
1. Thickening cervical mucus to block sperm.
2. Suppressing ovulation, so your ovaries don’t release eggs.
3. Thinning the uterine lining, making it less likely for a fertilized egg to implant.
Nexplanon is over 99% effective, making it one of the most reliable forms of birth control available.
The Pros of Nexplanon
1. Highly Effective
• Offers continuous pregnancy prevention for up to three years.
• Requires no daily action, unlike birth control pills.
2. Convenient
• Once inserted, there’s no maintenance required, aside from occasional checks to ensure it’s in place.
3. Reversible
• Fertility typically returns quickly after removal, often within a month.
4. Safe for Most People
• Suitable for those who can’t use estrogen-containing contraceptives (e.g., the pill, patch, or ring).
5. Lighter or No Periods
• Many users experience lighter periods, and some stop having periods altogether, which can be beneficial for those with heavy or painful menstrual cycles.
6. Discreet
• The implant is not visible, making it a private birth control option.
7. Quick Procedure
• The insertion and removal processes are fast and performed in a healthcare provider’s office.
The Cons of Nexplanon
1. Irregular Bleeding
• Unpredictable bleeding patterns are common, especially in the first few months. Some users experience spotting, longer periods, or no periods at all.
2. Potential Side Effects
• Hormonal side effects may include:
• Mood swings
• Weight gain
• Headaches
• Breast tenderness
• Acne
3. Minor Insertion Risks
• The procedure can cause bruising, swelling, or discomfort. Rarely, the implant may migrate slightly, making removal more challenging.
4. Not Suitable for Everyone
• Nexplanon isn’t recommended for people with:
• A history of blood clots.
• Certain cancers, such as breast cancer.
• Severe liver disease.
5. No Protection Against STIs
• Nexplanon does not prevent sexually transmitted infections (STIs). Barrier methods, like condoms, are still needed for STI protection.
6. Cost
• While often covered by insurance, the upfront cost without coverage can be high (ranging from $600 to $1,300 for insertion).
What Patients Should Know Before Choosing Nexplanon
1. Consult a Healthcare Provider
• Discuss your medical history, lifestyle, and preferences with your provider to determine if Nexplanon is right for you.
2. Understand Bleeding Patterns
• Be prepared for irregular bleeding, especially in the first 6-12 months. Ask your provider how to manage or mitigate this if it becomes bothersome.
3. Check Insurance Coverage
• Confirm if your insurance covers the cost of insertion, removal, and follow-up appointments.
4. Plan for Removal
• Nexplanon must be removed after three years but can be replaced during the same visit if you wish to continue using it.
5. Know the Risks
• Rare complications, like implant migration or infection, can occur. Ensure you know how to identify issues and when to contact your provider.
6. Consider Long-Term Goals
• If you’re planning to have children within the next three years, Nexplanon may not be the best option.
7. Track Your Periods
• Keep a log of your bleeding patterns to discuss with your provider, especially if irregularities persist or become disruptive.
FAQs About Nexplanon
1. Does the insertion hurt?
• The procedure is relatively painless due to a local anesthetic, though you may feel some pressure during insertion. Bruising or soreness may occur afterward.
2. Can it get lost in my body?
• The implant stays in the arm and is typically easy to locate. Migration is rare but possible.
3. What happens if I want it removed early?
• You can have Nexplanon removed at any time if you wish to stop using it or switch to another method.
4. Does Nexplanon affect fertility long-term?
• No, fertility usually returns quickly after removal.
5. Can I feel the implant?
• Yes, you can usually feel it under your skin, but it shouldn’t be visible.
Is Nexplanon Right for You?
Deciding on birth control is a highly personal decision that depends on your lifestyle, health history, and family planning goals. Nexplanon offers unparalleled convenience and effectiveness but isn’t suitable for everyone. Take the time to weigh the pros and cons, consult with your healthcare provider, and ensure you have all the information needed to make an informed choice.
Warriors, Have You Tried Nexplanon?
If you’ve used Nexplanon, what was your experience? Share your story in the comments to help others make an informed decision!
