nexplanon removal side effects

3 min read 12-03-2025

Nexplanon, a small, flexible implant offering effective birth control, provides three years of continuous contraception. While generally safe and effective, removing Nexplanon can sometimes lead to side effects. Understanding these potential side effects can help manage expectations and address any concerns. This article explores the common and less common side effects associated with Nexplanon removal.

Understanding the Nexplanon Removal Process

The removal procedure itself is typically quick and straightforward. A healthcare provider will locate the implant under your skin, usually in the inner upper arm. A small incision is made, the implant is removed, and the site is cleaned and bandaged. The entire process usually takes only a few minutes.

Common Side Effects After Nexplanon Removal

Many women experience minimal to no side effects after Nexplanon removal. However, some common side effects can occur:

Bleeding: Irregular bleeding or spotting is among the most frequently reported side effects. This is because the progestin in Nexplanon suppresses the body's natural hormonal cycle. Once removed, it can take time for the cycle to regulate. Some women experience heavier bleeding than usual, while others may experience prolonged spotting.
Pain or Discomfort at the Insertion Site: Some women experience mild pain, tenderness, or bruising at the insertion site. This usually subsides within a few days. Applying ice and over-the-counter pain relievers can help alleviate discomfort.
Hormonal Changes: As the progestin levels in your body decrease, you may experience hormonal fluctuations. These might manifest as mood swings, acne breakouts, or changes in libido. These usually resolve as your body adjusts.
Return to Fertility: One of the most significant "side effects" is the return of fertility. It's important to remember that Nexplanon doesn't offer immediate protection against pregnancy after removal. Your fertility will usually return fairly quickly, but it's vital to use alternative birth control methods if you're not ready to conceive. Consult your doctor about when you can expect to return to regular ovulation.

Less Common Side Effects After Nexplanon Removal

While less frequent, some women experience these side effects:

Infection: Though rare, infection at the removal site is a possibility. Signs of infection include increased pain, swelling, redness, pus, or fever. Seek immediate medical attention if you suspect an infection.
Nerve Damage: In rare instances, nerve damage can occur during the removal process. This might manifest as numbness, tingling, or pain in the arm. Most cases resolve over time, but some may require further medical intervention.
Scar Tissue Formation: Minor scarring is possible at the insertion site. This is usually minimal and often fades over time.

When to Seek Medical Attention

While many side effects are mild and temporary, you should contact your doctor if you experience:

Heavy or prolonged bleeding: If bleeding significantly impacts your daily life.
Severe pain or discomfort: Pain that doesn't improve with over-the-counter medication.
Signs of infection: Redness, swelling, pus, or fever at the insertion site.
Numbness or tingling in the arm: Persistent sensations that don't subside.

Preparing for Nexplanon Removal

Before your appointment, discuss any concerns you have with your healthcare provider. They can explain the procedure in detail and answer any questions you may have about potential side effects. Plan to have transportation arranged since you may feel slightly lightheaded or uncomfortable immediately after the removal.

Conclusion

Nexplanon removal is generally a safe procedure. While some women experience minor side effects, most find the process straightforward with minimal discomfort. Understanding the potential side effects and knowing when to seek medical attention can help ensure a smooth transition after Nexplanon removal. Remember to consult your doctor to discuss your individual experience and any concerns you might have. They can provide personalized advice and guidance based on your medical history. Remember to discuss alternative birth control options if you don't wish to become pregnant immediately following removal.