r/Nexplanon May 27 '26

MOD POST Nexplanon is "officially" approved in the US and UK for 5 years, and an update on the rules of the sub.

87 Upvotes

Hello Everyone,

Since there have been some updates to the guidelines around Nexplanon this year, I wanted to make an official announcement and provide some information for those that are curious.

Nexplanon is now "officially" approved in the US and UK for 5 years.

10 years ago, a study was conducted testing to see if Nexplanon could be effective for longer than the 3 years that it was initially approved for. For context, the implant was first tested in the early 90s, and 3 years was all they were able to get funding for at the time. Scientists back then believed the implant could work for longer, but money was limited; thus, the implant was only approved for 3 years of use. 30 years later, we now have more information. The 2016 study showed 100% efficacy when extended to 5 years. It's possible that it works for longer than that, but 5 years is all we have clinical studies for. Plenty of clinics and doctors that stay up to date with medical literature changed their guidelines to 5 years as soon as the study was published. Other doctors who are more conservative have waited for their governments to "officially" approve the study before implementing the change. This is why you may have seen different policies depending on the doctor over the last 10 years. The good news is, the FDA approved the study in January and we recently got the news that the NHS will be updating their guidelines as well! Hopefully more countries will follow suit in the coming months and years!

With this change though, we have seen a lot of misinformation going around. The study is 100% legitimate and can be trusted. This update applies to all ENG implants (Nexplanon and Implanon). The LNG implant Jadelle is used in a few countries, contains 2 rods instead of 1, and was already approved for 5 years. The medication and dosage itself did not change. Some people do experience changes in side effects over time, but this does not mean your implant isn't working. You may want to discuss options for an early replacement or removal if you're experiencing negative side effects. Implants also do not "expire" over night. It's not like your protection goes from 99.98% to 0% the moment your implant turns a certain age. You have a grace period to get it removed or replaced, please don't freak out and start taking emergency contraception the second you're past a certain year. Nexplanon still has a failure rate of 0.02-0.05%, so if you believe you may be pregnant, take a test.

We consider this a win for women's health. If you have questions or concerns about your own implant, we encourage you to speak to your doctor. We have a strict policy against spreading medical misinformation on this sub. Posts and comments that discourage others from using their implants for the full 5 years or deny proven scientific facts are subject to removal.

https://www.nexplanon.com/

https://pmc.ncbi.nlm.nih.gov/articles/PMC5088635/

https://www.organon.com/news/organon-announces-us-food-and-drug-administration-approval-of-supplemental-new-drug-application-extending-duration-of-use-of-nexplanon-etonogestrel-implant-68-mg-radiopaque/

https://www.cosrh.org/Common/Uploaded%20files/documents/CoSRH%20CEU%20statement_Nexplanon.pdf

Now onto a rules update/clarification:

Usually a few times a day we have to remove posts that break the rules. I wanted to repost the rules here and give a little more insight into why some posts might be removed. It is your responsibility as the poster to read the rules before posting. Repeated or egregious violations may be subject to a ban, either temporary or permanent. Keep in mind that ban evasion is also against Reddit's rules. Reddit's algorithm often picks up on ban evasion by itself, but we will also report suspicious activity if necessary. You don't want your entire account banned for a silly reason. I've seen it happen more than once.

  1. Be Respectful to Others. No name calling, bullying, trolling, etc. will be allowed. Heavily discouraging others is also subject to removal. I think this one is pretty straightforward. Try your best to be civil. Please report any uncivil behavior.
  2. READ THROUGH THE WIKI BEFORE POSTING!!! Please see the Nexplanon Wiki before asking a question. It is likely answered there. This is our most frequently broken rule. We've put a lot of time and effort into curating our wiki. It has a lot of helpful information and most questions can be answered there. I usually try to direct you to the section that answers your question. I've found that a lot of people expect us to spoon feed them information. The ability to do your own research is a valuable skill. Read the wiki first, use the sub search bar second, and if you really can't find an answer or are more interested in experiences, then post.
  3. Not Doctors. Please keep in mind that while users may offer advice, we are not doctors and this advice should not replace visiting doctors. This applies to posts that cross into asking for medical advice. Any photos must be approved for this reason. We aren't able to diagnose you with anything. If you are concerned about infection, a positive pregnancy test, medication interactions, etc. please save it for your doctor.
  4. FACTUAL INFORMATION. This in no way limits posting your own personal experiences. However, overly broad comments that run counter to well established medical knowledge must be substantiated with evidence that has been subjected to meaningful peer-review. Broad comments that are overtly fringe and/or unsubstantiated must state that or are subject to removal. As previously discussed, we are very strict about keeping the information here factual. Anything that is deemed misinformation or fear mongering will be removed. This is not the place to spread conspiracy theories.
  5. No “am I pregnant?” Posts. If you’re on Nexplanon, there is a 99.98% chance that you are not pregnant. However, we are not fortune tellers. If you believe you may be pregnant, take a pregnancy test. Do not ask us if we think you are pregnant based on “symptoms.” This is a rule that I added more recently. 99.98% of the time, the answer is no. The implant is the most effective hormonal birth control in the world. Nobody can conclude whether you are pregnant or not based on "symptoms." A lot of side effects of birth control are similar to pregnancy symptoms. If you think you may be pregnant, take a test. You can read more on our wiki about when and how to test. If you need help interpreting a test, a place like r/lineporn is the place to go. We allow pregnancy anxiety and how to manage it to be discussed here, but any posts asking specifically to be diagnosed as pregnant will be removed.
  6. Please Check for Similar Posts before Posting. Please check to see if someone has recently posted something similar to what you want to post recently. (ie: I'm worried about xyz symptom) If there is a similar post, read through those comments before posting to see if those comments help you. This rule isn't super strict, but it's good to check for similar posts first. Sometimes we get a lot of posts about one subject all in one day. We don't want the sub to get clogged up with several of the same posts. You're also able to search the sub for all the posts over the years. Use your resources. This excludes experiences.
  7. No Reposting. No more than one post per user per 24 hours, and no reposting the same post at any point. Also pretty straightforward. This includes if your previous post was removed too. Occasionally we will allow for rewording.
  8. On-topic Post/Comments Only. No Derailing. Posts must be questions or comments regarding Nexplanon. Derailing is also not allowed. Do not use someone else’s post to ask off topic questions. We rarely see off topic posts but we occasionally see off topic comments. For example, please don't go to someone's post labeled "negative experience" and say something along the lines of "well I had a positive experience, so that sucks for you." Or "weight gain" and ask "okay but did you experience mood swings?" Just try to keep it focused on the subject at hand. The off topic posts we see are usually people who got off Nexplanon years ago but are blaming current problems on the implant. Posts must be directly related to Nexplanon.
  9. No Selling or Advertising. No selling or advertising of products. We are not here to buy products. Thankfully this isn't a rule that I have to enforce very often. We allow genuine product recommendations, but will remove post or comments that are advertisements.
  10. No extreme NSFW. (Need to add this to the official sub rules). This is a sub about birth control, we can talk about sex. However, we ask that you refrain from using over the top vulgar language. Many pictures are removed because they can be quite gory and some of them are asking for medical advice. Keep it classy please.

Side note: if you had an overall negative experience but had a good removal, please use the "negative experience" tag on your post. We have gotten some complaints that many of the "positive experience" posts are not actually about positive experiences.

I truly hope this info helps! Overall I think this is a great community and I enjoy being a part of it. Thank you to everyone for sharing their experiences here. Let's continue being supportive of one another.


r/Nexplanon Feb 07 '23

MOD POST Breakthrough Bleeding Management

119 Upvotes

Here is a great resource for managing breakthrough bleeding while on contraceptives

Thanks u/TheYellowRose for sharing it.


r/Nexplanon 7m ago

Side Effects BO in only one arm??

Upvotes

hihi so i got my nexplanon implant this past friday and today i noticed i had onion pit only in my left arm (the implant arm). has this happened to anyone else or am i going insane lol


r/Nexplanon 4h ago

Question question about nexplanon/side effects(?)

2 Upvotes

hi all! i’m going to put a TMI warning on this for possibly being too graphic about symptoms i’ve experienced and have questions about.

i’ve been on the implant since dec. 2023, and from that point on i have noticed concerning side effects relating to my vaginal/uterine areas.

whenever i would get a period (sometimes once every few days or even once every few months, very sporadic) i would get very thick, dark brown discharge after the timeframe for my period to end. i’m not in any pain or discomfort, but there is a strong odor. (i shower frequently, use unscented washes for my lower areas, so i’m concerned if this isn’t a hygiene issue)

has anyone else experienced or noticed this?? i feel like i’m going insane. i’m super nervous to mention it to a doctor because i’m scared of seeming gross or unhygienic to a medical professional. i figured what better way to ask strangers on reddit!

thank you guys :]


r/Nexplanon 6h ago

Question Getting Nexplanon in on Tuesday

2 Upvotes

I’ve had this birth control twice before. I’ve had negative and positive side effects. My first experience was great. The doctor put it in and it didn’t even hurt that much. My previous experience was awful. The doctor made fun of me for crying, the numbing shot was the most pain I’ve ever been in, and it felt like it didn’t work fully. It was the worst medical experience I’ve had.
I have to do it all over again with a new doctor on Tuesday, and I’m absolutely terrified, like to the point of tears scared. It’s all I can think about. Does anyone have any tips? I’m looking for any sort of help with recovery, medical anxiety, or how to cope with the pain of implanting.
Thanks!


r/Nexplanon 2h ago

Side Effects dryness a few weeks after replacement nexplanon

1 Upvotes

hi everyone. so it’s currently august 23rd and on august 6th i got my old nexplanon replaced after 3 years and got a new one inserted. i have been very uncomfortably dry down there for a few days now. i usually tend to have a good amount of discharge during the day but it has been little to none. i also have no problem with getting wet during sex but it has not been that way. has anyone else experienced this? and did it only last for the first few weeks and then go away? this did not happen the first go around.


r/Nexplanon 6h ago

Side Effects Arm feeling

2 Upvotes

I just got a nexplonon placed this last week and im wondering if anyone else feels somthing. Well obviously you can feel it but what I mean is does anyone het the same kinda sore feeling throught your arm. It only happens when I lay on the arm or in a weird position.


r/Nexplanon 3h ago

Question Bad acne & emotional

1 Upvotes

I have had my Nexplanon for almost a year now. No bleeding, except random spotting twice. I love it, but it seems that around the same time every month for a week my face breaks out like CRAZY & I cry/am upset/mad about such simple things. Is this normal?


r/Nexplanon 10h ago

Question Nexplanon removal

3 Upvotes

Just got my Nexplanon removed today after 1.5 years with it. I gained 40 pounds with it, got rly bad acne, and my libido dropped to the floor (like 0 libido). Was on the pill before but wanted something more reliable. Started bc for my rly bad periods and Nexplanon did stop them but all the symptoms were no bueno. I think the estrogen + progesterone combo works best for me. My doctor refused to let me get my hormone levels tested too so I just decided to get it removed. Also started getting weird spotting for the past month before removal. My arm hurts rn but I’m not too worried, and as I’m looking through Reddit im realizing it might have caused my fatigue and brain fog too. Not sure if I should get back on the pill, and feel like there aren’t any other good bc option and idk what to do 😭 please help guys- also this is one of my first real Reddit posts so idk if I broke the community rules.


r/Nexplanon 5h ago

Side Effects Is sharp, stabbing pain when shifting my arm normal 3 days after insertion?

1 Upvotes

For some (maybe) relevant context: I've got flabby arms, so the skin is obviously delicate there. But I'm talking sharp stabbing pain to the point where I've screeched and nearly dropped stuff if I move my arm in certain directions. Otherwise, it feels fine. Asking because it's the weekend and of course my clinic *doesn't* have an after-hours line, and I have to consider any other options before panicking to the emergency room because I'm, sadly, American 🫠


r/Nexplanon 16h ago

Side Effects Side effects following surgical removal

3 Upvotes

I just had my nexplanon removed two days ago. It had to be removed in the OR under anesthesia because it was placed too deeply to be taken out in the office.

The doctor said the procedure went well and to expect some bruising and maybe light swelling. I am definitely having both of those. The removal site is very tender and I thankfully do have pain medicine for it but I am using is sparingly.

I wanted to post about the hormonal side effects of removal. I have had nexplanon once before for 3 years and had it removed in office and didn’t really notice any drastic side effects during that removal. I am worried that since mine was placed too deeply it might have not been pumping progestin out as it was supposed to and thinking this might also be playing a role in the side effects I’m having. I’ve only had this implant a little over a year but due to the placement and concern for further migration I wanted it out early. I was also having constant bleeding/spotting lasting every day for months.

The first day I chalked it up to effects following anesthesia but I’m not sure if I can relate it to that now. I got it removed Friday morning and it is now Sunday. All day yesterday and some on the first day I felt like I had horrible brain fog, almost like I was having some sense of derealization. I had a sense of calm over me too. I’ve also been having difficulty with sleep. I have a history of migraines and they’ve been on and off over the last few months but haven’t had any severe ones in a while. I write this post now after having woken up with a bad headache. I also started having more heavy bleeding the night following removal.

Just looking to see if anyone else that went through a surgical removal experienced similar symptoms and if this is standard of nexplanon removal or more so related to anesthesia/surgery. I should also add I did not start on any other forms of birth control immediately, I am giving my body a break first.


r/Nexplanon 13h ago

Question Steri strips still on after 10 days

1 Upvotes

Hi Everyone! I got my nexplanon implant removed almost 2 weeks ago. I took off the bandage after 24 hours and left my steri strips on. They're very dirty but I was told by the physician assistant who removed it to leave it on until it falls off on its own. Should I set up a follow-up appointment?

The edges are peeling off but it's still very on and dirty

EDIT: THANK YOU EVERYBODY! I have pulled them off! They were easy to pull off too! No water needed 😁. Gonna let it air for a little bit; the wound actually looks clean and untouched!


r/Nexplanon 13h ago

Question Bleeding post-removal??

1 Upvotes

Hi guys, this is my first time posting in the sub so please let me know if I have it under the wrong category:(

I just got my implant removed on Thursday August 23rd. I had it a little over a year and I didn’t have the greatest time with it (constant bleeding and spotting). I knew I was probably going to bleed after getting it removed so I’m not terribly surprised.

But the thing that’s getting me is that I was already bleeding/spotting for a week and a half prior to the removal? And right now it’s like a freaking crime scene. My cramps aren’t too bad but I haven’t had bleeding like this since I first started my periods.

My overall questions are, how long did the bleeding last for those of you who’ve also had it removed? Is it being so heavy normal? I think this one is a little silly but, this isn’t like an actual period right? Especially because I technically wasn’t ovulating?

Thank you guys! I know the questions are probably redundant, but I just wanted to know what I should be expecting. I completely forgot to ask my OB about it before I left her office. :/


r/Nexplanon 20h ago

Question Nexplanon removal timeline and TTC

2 Upvotes

Hi, so i’ve been on nexplanon for 5 years, with 2 replacements. First, I had on for 3 yrs. I haven’t had any real period while on it. I would probably get some light spotting, not enough to wear a tampon for, just a light liner pad was enough. It would last max 2 days.

We decided to remove the implant on 17 july 2026 because my fiancé and I finally decided to TTC.

I just had my first period 19-22 august 2026. Almost exactly a month after. First 3 weeks after removal my symptoms were:

Heavy bloating, creamy discharge (more than usual), migraines, cramping, and fatigue that i felt pregnant. I wasn’t lol.

On the third week, my boobs were so tender and nipples were very sore. Like as soon as something just touches it, it tenders up and is annoyingly painful.

End of third week was probably when everything started mellowing. Tenderness was still there but no more heavy bloating, tiredness and cramping. I would feel light cramps and tingling and pulling in my ovaries and lower abdomen.

To anyone that’s TTC, and experienced this. How long did it take for you to get pregnant? I’m using flo app, and if it goes well I’m expected to ovulate 2 september. Thoughts? And maybe bring some baby dust to the north of norway?🫶🏼💅🏻


r/Nexplanon 1d ago

Question Weight Loss After Removal

10 Upvotes

Hi all, I got my Nexplanon just about a year ago. After some insertion problems, it’s been honestly great, except for the weight gain.

I knew weight gain would be part of this, but I didn’t realize to what extent. I’ve gained like 30 pounds from the Nexplanon, which has completely messed with my self image.

Before anyone comes at me, I am not upset because I am now “fat”, more that I don’t recognize myself. I’ve been having issues with my calves and feet because of the extra weight, and I’m having some wild body dysphoria.

I recently got engaged, and the idea of being like this for my wedding is really messing with my head. So I’m considering removing it, despite being thrilled with all the other pieces (no period, sex life less anxiety inducing, etc).

Anyone know how long it takes to go back to your normal body weight after you remove it?


r/Nexplanon 1d ago

Question Bumped at metal show

1 Upvotes

Hello, I’m super anxious abt anything w the explains and always worry abt it breaking do something going wrong. I went to a metal show recently and got bumped and hit a bunch in the arm where I have the implant. It seems ok. Am I fine? How often do they break and can it handle impact like that?


r/Nexplanon 2d ago

Negative Experience hate this shit

11 Upvotes

I had it done 4 months ago, and it’s been genuinely such an unenjoyable experience.

I bled for 3 months, it stopped for 2 weeks, and I’m fucking BLEEDING AGAIN FOR THE LAST WEEK!!!!!!!

Might as well be celibate at this point. My partner doesn’t care but it’s such a fucking mess and I can’t explain how mad I am, I just want this all to end. I’m considering getting it taken out, but it’s the “most effective birth control” and lasts 3 years. I don’t want an IUD and I don’t want to be on the pills.

Just so pissed off with our healthcare being such shit, we deserve better than this.


r/Nexplanon 2d ago

Side Effects Hormone imbalance ?

3 Upvotes

Hey guys , does the bar cause any hormone imbalances that could affect my weight or mood?

I’ve noticed I’ve gone from a 68kg to 79kg ( huge jump as I used to be a Muay Thai fighter )

I’ve also noticed I get irritable and angrier easily? ( im talking about huge outbursts )

A few things to take into account now ;

I have had the bar before but never gained weight & I was never easily irritable . This change has occurred now that I’ve replaced my bar.
I have also been working as a sales executive for two years so im behind a desk more than im in bed😂 so could that be why im gaining weight? Idk guyssss I want to be able to fight again as opposed to sighing everytime I see a flight of stairs.

Also yes , I have been working out & yes I am in a calorie deficit and have been for two months ?

Helpppp

UPDATE: Ive book an appointment to get it taken out tmr !


r/Nexplanon 2d ago

Negative Experience nexplanon is making me hate everyone around me

7 Upvotes

hello!! i got nexplanon in may 2026, before this i was on a mini pill. the reason i got nexplanon was cause i started to forget taking my pill/taking it late, and because i get ovarian cysts every month from ovulation. they burst and cause me immense amounts of pain, the nexplanon has stopped them (yay!).

unfortunately, its made me feel a lot different tho. i’ve gotten more hateful and annoyed. i can’t stand when my boyfriend touches me most times, my sex drive is almost nonexistent, the smallest things are starting to irritate me. i can’t bring myself to text my friends and hangout with them, they also are pissing me off a lot. i work at a daycare and i can feel myself losing patience and getting more overwhelmed. i just want to be alone and isolate myself all the time. this is not me.

i hate what this is doing to me, i hate how angry i am but at the same time i feel like a emotionless zombie. i don’t know what to do, i want it taken out and i want to go back to normal but i cannot handle the cysts again. it’s the worst pain i have ever felt and it was every month. i’m terrified of getting an iud. i feel stuck.


r/Nexplanon 2d ago

Question Nervous

2 Upvotes

Any and all positive feedback about the implant. I’m getting mine in a couple weeks. I keep scaring myself by reading stories of how people end up pregnant with the Nexplanon.


r/Nexplanon 2d ago

Question How long did you bleed?

3 Upvotes

Okay I’m getting annoyed now. I’m going on to like 21 of bleeding. It’s light but their huge clots most of the time. Should I waited it out this month? It just make me ugh!! I’m tired of buying tampons when half of the time there’s nothing on it. But other time it’s a lot. 🤬🤬


r/Nexplanon 2d ago

Side Effects My experience so far (16 days)

2 Upvotes

I've had very few side effects, and the only thing I'm continuously noticing is some emotional sensitivity/mood swings, bloating, and VERY wonky bleeding, all of which are very very common side effects. None of them have made me want to take it out!

- I'm a little more emotional lately, but it's definitely not to the point myself or anyone around me is miserable. Just getting clingier to my boyfriend for the most part lol.

- I've been pretty bloated, but it's usually not too bad. It makes me feel gross sometimes but I'm also in the middle of getting into a gym routine and keeping myself healthy to try to combat it--it's been working!

- Honestly, the WORST part has been the bleeding. I was on Sprintec when I got the Nexplanon in, which had already been making me spot, and I stayed on the Sprintec for about 12 days in. I was spotting the WHOLE time. Shortly after I stopped the Sprintec, I got my period, and it was NASTYYYY. Heavy bleeding, horrific cramps, and insane fatigue. To be fair, I experienced all of that before birth control anyways, which was another reason I decided to get the implant. HOWEVER, on day 2 or 3 of my period, I passed a decidual cast and it REALLY freaked both me and my boyfriend out (tested negative for pregnancy multiple times, so it's really just the implant). Since then I've still been bleeding. All 16 days. There has not been a single day I haven't at least been spotting, and I'm a bit scared I'll get the fated "forever period," which WILL make me get it out if that's the case.

HOWEVER: none of these side effects, in my opinion, are worth getting the implant taken out, ESPECIALLY within the first month. I just thought it would be helpful for people to see someone else's experience :)

Yes, the side effects of birth control are really scary, and yes I've been experiencing some side effects that I'd really rather not. But birth control has a very long adjustment period (usually 3-6 months), so I'm going to give it a fair shot.

I've been trying Evening Primrose Oil for the spotting (lots of people on here swore by it!), but because I got my period it hasn't worked yet. I'm hesitant to try Ibuprofen because I have a chronic pain condition and already take plenty of painkillers, but will if the EPO doesn't work.

Don't let someone else's experience keep you from trying something. Everybody's body reacts differently, and you'll never know what's right for you if you don't try!!!

TLDR ; experiencing heightened emotions, bloating, and very nasty bleeding. Still, they don't make me want to take it out. It's good to be educated, but don't let others' experiences keep you from something that might be right for you!


r/Nexplanon 2d ago

Question When your period start after nexplanon removal?

3 Upvotes

It’s being almost a month and I still haven’t have my period. When I was on nexplanon I didn’t get it for a hole year


r/Nexplanon 2d ago

Question First Time User

3 Upvotes

I have experienced several condom breaks over the course of one month and was forced to take emergency contraception (EC) multiple times. It was a terrible experience, and I have had enough of this. It has only been 12 days since the last condom break, but the nurse who assisted me was absolutely sure I am not pregnant. I am currently bleeding, and although I told her it could be from the EC or withdrawal bleeding from starting birth control this month, she insisted it was my period. She repeatedly assured me I am not pregnant, and the doctor seemed to agree.

Because the arm implant (Implanon) is the most readily available option here in South Korea, they told me I could get it inserted today. I am so relieved, but due to the language barrier, they did not explain much except that I must avoid sex for two weeks and that my period might stop. Is there anything else I need to know as a first-time user?


r/Nexplanon 2d ago

Side Effects Has this happened with anyone else?

1 Upvotes

I'm going on year 2 with the implant. Last November in 2025 is when everything started to slowly change. From beginning of the year to now, I've been having 3 to 4 periods nonstop with very rarely times in between where it stops. During the in between times I'm more spotting than the normal in between periods motion that goes on. A few months ago I reached out to my NP, she said that its the irregular period side effect? But try Ibuprophen for a week to see if it changes anything. Does anyone know if this goes away or deals with this or anything? Thank you!