A close-up image of a woman's arm with a transparent overlay showing the Nexplanon implant beneath the skin.

How long does it take for Nexplanon to become effective?

3 min read
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Summary

Nexplanon is a small rod inserted under the skin of the upper arm, releasing etonogestrel to prevent pregnancy by stopping ovulation, thickening cervical mucus, and thinning the uterine lining. It's effective immediately if inserted during your period, otherwise, it takes 7 days. It's >99% effective for up to 3 years.

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 PeriodEffectiveness 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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