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. It releases etonogestrel, a progestin hormone, into the bloodstream to prevent pregnancy through multiple mechanisms:

  • Preventing ovulation: Stops the ovaries from releasing eggs
  • Thickening cervical mucus: Makes it harder for sperm to enter the uterus
  • Thinning the uterine lining: Reduces the likelihood of implantation

For detailed information, visit the official Nexplanon website.

Effectiveness Timeline 📅

The time it takes for Nexplanon to become effective depends on when it's inserted during your menstrual cycle:

If Inserted During Your Period

  • When inserted within the first 5 days of your menstrual period, Nexplanon is effective immediately
  • No backup contraception is needed

If Inserted at Any Other Time

  • Takes 7 days to become effective
  • Must use backup contraception (like condoms) during this period
  • Wait a full week before relying on Nexplanon alone

Special Circumstances 🔍

Switching from Other Birth Control Methods

  • Pills to Nexplanon: No waiting period if inserted within 24 hours of last active pill
  • Injectable contraception: Insert during the time you would be due for next injection
  • IUD removal: Insert on the same day as IUD removal

After Pregnancy

Important: Timing of insertion after pregnancy affects effectiveness and safety.

  • Post-partum: Can be inserted immediately after delivery if not breastfeeding
  • Breastfeeding: Safe to insert after 4 weeks postpartum
  • Post-abortion: Can be inserted immediately after procedure

Effectiveness Rates 📊

Once active, Nexplanon is highly effective:

Time Period Effectiveness Rate
First year >99.9%
Three years >99%

Factors Influencing Effectiveness

Several factors can affect how well Nexplanon works:

  • Incorrect Insertion: Ensure a trained healthcare provider performs the insertion
  • Medications: Some medications, particularly anti-epileptics, can reduce effectiveness
  • Body Weight: May be slightly less effective in women with higher BMI
  • Most common antibiotics and daily activities don't affect effectiveness

Common Side Effects

After getting Nexplanon, you might experience:

  • Changes in menstrual bleeding patterns
  • Headaches
  • Weight gain
  • Breast tenderness
  • Mood changes
  • Acne

These side effects often diminish over time. If they persist, consult your healthcare provider.


For more information, visit the Planned Parenthood guide on birth control implants.

Remember: Always discuss your specific situation with a healthcare provider, as individual circumstances may vary.

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