My Nexplanon Implant Experiences: The Subdermal Contraceptive

My Nexplanon Implant Experiences: The Subdermal Contraceptive

The Nexplanon implant is one of several contraceptive devices I’ve used over the years. What is the Nexplanon implant? How does it work? Does it hurt to get it inserted? How long does it last? Does it protect against STIs? Today I’m sharing my answers to all these questions, plus my personal experiences getting the Nexplanon subdermal contraceptive inserted, how it feels during the years under my skin and why I recently changed to IUD contraception – the Mirena coil.

My first ever experiences with non-barrier contraceptives – that is, contraception that only prevents pregnancy, not STIs like condoms do – was back in my teen years taking the Pill. Although very effective at preventing pregnancy when taken regularly and correctly, you must remember to take it every day (or whatever the instructions for your particular contraceptive Pill are). In addition, some people can experience negative side-effects from taking the Pill, such as nausea, headaches, mood changes, weight gain, and changes in menstrual bleeding patterns.

After more years than I care to count, and time out from the Pill for the pregnancies & births of my children, my husband and I found ourselves facing a choice: I could go back on the Pill, we could use condoms to prevent pregnancy, or we could opt for a different form of contraception. Although condoms are an essential barrier to prevent STIs during casual sex, in our long-term relationship we find them to be a bit of a faff and we prefer the skin-on-skin intimacy rather than having the condom between us. I did a bit of research, spoke to my GP, and decided to have the contraceptive implant in my arm.

My Nexplanon info & reminder cards, plus my new Mirena coil info card

My first Nexplanon implant was inserted in 2018. It lasts for 3 years, so I had it removed and a new one to replace it in 2021. Due to ongoing changes in my body as part of my perimenopause which began in 2022, I recently had my Nexplanon implant removed and not replaced – as I elected to have the Mirena coil (IUD) instead. I was advised to have the Mirena not only as ongoing contraception but mainly for the uterine protection its progesterone release provides, as I am also using oestrogen patches for my perimenopause-battling HRT. The Mirena doesn’t need to be removed or replaced for 7 years! I will write more about the Mirena coil, my experiences with it so far, and an update on my perimenopause struggles in separate features.

Getting my Nexplanon Implant Inserted

After discussing my options with the doctor and agreeing to have the Nexplanon implant inserted, I then needed to wait for an appointment where this would be done. It is done via a minor incision on the inside of the upper arm, using a local anaesthetic. You can view all my photos further down this page.

On the day of the insertion, I was a little apprehensive as it was all new, but I wasn’t too worried. Plenty of people have the contraceptive implant. I kept telling myself that as I was waiting to be called into the clinical room where the procedure would take place.

Once in the room, I was asked to lay on the bed. You don’t need to remove any clothes, as the implant is placed underneath the skin on the inside of the upper arm. I wore a short-sleeved top to make things easier. There was a doctor and a nurse in the room, the doctor to place the implant and the nurse who takes care of bandaging up afterwards.

Making sure I was comfortable, ready and still consented to the procedure, the doctor then informed me she was going to anaesthetise the area. This was done with a painless injection – just a small scratch really. I don’t like looking when I get injections etc, so all I felt was the momentary scratch then that part was done.

A few moments wait for the anaesthetic to kick in, then the doctor double and triple checked the area was entirely numb. They will not continue if you’re not entirely numb, so don’t worry about this. I couldn’t feel anything at all in that part of my arm, so she continued with the procedure. A small incision was made, just a tiny hole in the surface of my numb skin, then the implant was slid into position. It didn’t hurt; I didn’t feel a thing.

Afterwards, I was informed the implant was successfully installed. The nurse took over, putting a surgical plaster over the area then bandaging my arm around the affected part. It is just a strip of bandage secured around the arm; you can still use your arm, it isn’t restricted from use in any way. Of course, it’s still affected by the local anaesthetic at this point, and for about an hour afterwards in my case.

Once I was bandaged up, the doctor gave me some helpful information before I left. When the anaesthetic wore off, I might have a bit of localised pain where the incision had been made and the implant inserted. This wouldn’t be too painful and could be managed with over-the-counter painkillers. I was to leave the bandage in place for 72 hours, and the plasters etc underneath could be removed in entirety after 5 days. I asked about showers and bathing. She advised me to wrap some clingfilm around the area for the first 72 hours, to stop the dressings getting wet.

Then I could leave, and that was it for 3 years! Unless I had any issues, of course – but I didn’t. I went home – in fact I did my daily 5 mile walk while the anaesthetic was still having an effect, without any problem at all. When the anaesthetic wore off, it wasn’t painful enough to need any painkillers. Showering in the first couple of days afterwards was awkward due to wrapping clingfilm over the bandage, but besides that small issue everything was fine. I removed all the dressings under the bandage after 5 days and I just had a small area of bruising which eventually healed.

My worst bruising was the first insertion, then each time after that the bruising has lessened. I’ve hardly noticed any bruising with the recent removal. The amount you bruise could be different according to several factors, such as nutrition, health, DNA and immune system – so your mileage on this point could definitely vary.

Life with the Contraceptive Implant

After my arm was entirely healed, I ventured to feel the implant under my skin. I could definitely make it out with my fingertips, but if I didn’t feel where it was with my fingers, I wouldn’t have been able to tell anything was in there. In time, I mostly completely forgot it was even there!

I say mostly, because at certain times of the month there would be a minor twinge in the implant area. I think this was related to the hormone release, and my own hormones with my menstrual cycle. Particularly in later years when I experienced the onset of perimenopause, and the hormonal changes associated with this time of life. The twinges weren’t enough to require any painkillers, more just a reminder that I had the Nexplanon implant in my arm. It wasn’t painful or even annoying, just a small twinge every now and then.

Having the Nexplanon Implant Removed

Getting the Nexplanon implant removed was just like when I had it inserted. The procedure was the same, except that obviously instead of sliding the implant into position, the doctor located it under my skin and delicately removed it with a precise surgical implement. I don’t know exactly what tool she used, as I was anaesthetised in that area and I don’t like to look! I don’t mind getting this sort of procedure done, but only if I don’t have to watch someone cutting into my skin. I’m surprisingly squeamish when it comes to seeing needles puncturing skin or skin being cut open. I can’t watch any surgical scenes on TV, either!

Apart from not wanting to watch, the removal procedure went without any issues each time – both when I had the implant removed and a new one reinserted, and when I had the Nexplanon removed once and for all. Healing and recovery were as I’ve described already.

Photos

2018: My first contraceptive implant insertion

2021: Implant removal & reinsertion

2024: Implant Removal

Would I Recommend the Contraceptive Implant?

If you’re in a relationship where a barrier form of contraception isn’t wanted or required, I would have no hesitation recommending the Nexplanon implant. It basically has the same effect/works in the same way as taking the daily contraceptive Pill, except you don’t have to remember to take it, and you can simply forget it’s even there. No worries about getting a new prescription, about whether you have enough tablets to cover trips away, or forgetting to pack them in your luggage if you travel far from home.

It’s in your arm, non-detectable and unnoticeable, preventing pregnancy for 3 years until you decide to either have it replaced or removed entirely. It doesn’t affect ongoing fertility; when you get it removed your usual levels of fertility will return. That said, I am not a medical professional so if you have any concerns in this department, please speak with your GP before opting to get the Nexplanon or any other brand of subdermal contraceptive implant.

Find some general information and answers to FAQ about the Nexplanon implant below:

Nexplanon FAQs & Info

What is the Nexplanon Implant?

Nexplanon is a form of birth control that’s inserted under the skin of your arm. It’s a small, flexible plastic rod that releases hormones to prevent pregnancy. It’s over 99% effective and can last for up to three years. It’s a discreet and long-lasting birth control option for those who prefer not to take a daily pill.

How big is it?

Nexplanon is about the size of a matchstick, approximately 1.6 inches (4 cm) long. Its small size makes it discreet and easy to insert under the skin of the arm.

How does it work?

Nexplanon works by releasing a hormone called progestin, by way of the medication etonogestrel, into your body. This hormone prevents ovulation, thickens cervical mucus to stop sperm from reaching an egg, and thins the lining of the uterus. It emits a steady low dose of progestin continuously over a period of up to 3 years, providing effective contraception.

Read more about etonogestrel, Nexplanon/Implanon & how they work on the Wikipedia page.

How is the implant inserted?

To insert the Nexplanon, a healthcare provider will first numb the area on the inside of your upper arm. Once the area is numb, they will use a special device to insert the rod just under the skin. The process is relatively quick and can usually be done in a healthcare provider’s office. After insertion, the healthcare provider will cover the insertion site with a bandage.

Does it hurt?

Getting the implant doesn’t hurt much. It might feel like a little pinch or discomfort. Some people may have bruising or tenderness, but it usually goes away quickly. It’s a quick procedure, so don’t worry too much about it!

How long does it take long to heal?

The healing process after Nexplanon insertion is usually quick. The small incision made during the insertion typically heals within a few days to a week. It’s normal to have some bruising, swelling, or tenderness at the insertion site, but these symptoms should improve over time. If you have any concerns about the healing process, it’s always best to consult with your healthcare provider.

Can you see or feel it in the arm?

You can usually feel the Nexplanon rod under the skin of your arm, but it’s not visible from the outside. It’s placed just under the skin, so you can touch and feel it if you press on the area where it’s inserted. It’s designed to be discreet and not easily seen by others.

How does it feel when it’s removed?

When Nexplanon is taken out, you might feel some mild discomfort or a little pinch, similar to when it was inserted. Some people may experience bruising, swelling, or tenderness at the insertion site, but these symptoms usually go away quickly. It’s a quick and simple procedure, so please don’t worry!

Does it protect against STIs?

Nexplanon does not protect against sexually transmitted infections (STIs). It is a highly effective form of birth control that prevents pregnancy by releasing hormones into your body, but it does not provide protection against STIs. It’s important to use condoms or other barrier methods to reduce the risk of contracting STIs.

How effective is it at preventing pregnancy?

Nexplanon is super effective at preventing pregnancy! It’s actually one of the most reliable forms of birth control available. It’s over 99% effective, meaning less than 1 out of 100 people who use it will get pregnant each year. It’s a great option for long-term contraception.

What are the common side-effects?

Common side effects of Nexplanon can include changes in your menstrual bleeding patterns, such as irregular bleeding, spotting, or no bleeding at all. Some people may also experience headaches, acne, weight gain, breast pain, or mood changes. These side effects usually improve over time as your body adjusts to the hormones in Nexplanon. If you have any concerns about side effects, it’s a good idea to talk to your healthcare provider.

How long does it last?

Nexplanon lasts for a long time once it’s inserted! It can provide effective birth control for up to 3 years. After that time, it should be removed, and if you want to continue using Nexplanon, a new one can be inserted. It’s a convenient and discreet contraception option.

Is it free to get the Nexplanon implant?

In the UK, Nexplanon is usually available for free through the National Health Service (NHS) for those who meet the eligibility criteria. You can check with your healthcare provider or local sexual health clinic for more information on how to access Nexplanon at no cost.

In the USA, the cost of Nexplanon can vary depending on your insurance coverage. Some insurance plans may fully cover the cost of Nexplanon, while others may require a copay or payment. It’s best to check with your insurance provider or healthcare provider to understand the specific costs associated with getting Nexplanon in the USA.

How old do you need to be to get the contraceptive implant?

In both the UK and the USA, you typically need to be at least 16 years old to get Nexplanon without needing parental consent. However, it’s essential to check with your healthcare provider or local sexual health clinic for specific age requirements and guidelines in your area. They can provide you with accurate information based on your individual circumstances.

Are there any other Contraceptive Implants?

Besides Nexplanon, there are other subdermal contraceptive implants available, such as Implanon and Jadelle. These implants work similarly to Nexplanon by releasing hormones to prevent pregnancy. Each type may have slightly different hormone formulations or durations of effectiveness, so it’s essential to talk with your doctor to find the best option for you.

 

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