When should you not get Nexplanon?

Understanding Nexplanon: When to Avoid It
Nexplanon, a popular long-acting reversible contraceptive (LARC) method, is a small, flexible rod inserted under the skin of the arm to prevent pregnancy for up to three years. While it offers effective contraception for many, there are specific circumstances and health considerations where its use may not be advisable.
Health Conditions and Risks
1. Pregnancy or Suspected Pregnancy: Nexplanon is contraindicated for individuals who are currently pregnant or believe they might be pregnant. The rod is designed to prevent pregnancy, and its use in a pregnant individual can pose risks to both the mother and fetus.
2. Unexplained Vaginal Bleeding: If a woman is experiencing unexplained vaginal bleeding, it is crucial to identify the underlying cause before considering Nexplanon. This symptom could indicate a serious condition that requires medical evaluation.
3. Active Liver Disease: Individuals with active liver disease or liver tumors should avoid Nexplanon, as the hormones in the implant can affect liver function and exacerbate existing conditions.
4. Current or History of Blood Clots: Those with a current or past history of deep vein thrombosis (DVT), pulmonary embolism, or other thromboembolic disorders are typically advised against using Nexplanon. Hormonal contraceptives can increase the risk of blood clots, making this a significant concern.
5. Certain Cancers: Women who have or have had certain types of cancer, particularly hormone-sensitive cancers such as breast cancer, should not use Nexplanon. Hormonal contraceptives can stimulate the growth of hormone-sensitive tumors.
Potential Drug Interactions
Certain medications can interact negatively with Nexplanon, reducing its effectiveness. For example, medications that induce liver enzymes, such as some antiepileptic drugs and herbal supplements like St. John’s Wort, can diminish the contraceptive efficacy. It’s vital for patients to inform their healthcare provider about all medications and supplements they are taking.
Age and Lifestyle Considerations
While not absolute contraindications, individuals who smoke and are over 35 years old may face higher risks when using Nexplanon. Smoking increases the likelihood of cardiovascular events, particularly when combined with hormonal contraceptives.
Conclusion: Personalized Decision-Making
Before opting for Nexplanon, it is crucial for individuals to have an open discussion with their healthcare provider. This conversation should cover personal health history, current medications, and any concerns regarding potential risks. Informed decision-making is key to selecting the right contraceptive method, ensuring both safety and effectiveness in preventing unintended pregnancies. Always consult with a healthcare professional to evaluate the best options tailored to individual health needs.

What is the age cut off for NEXPLANON?

Safety and efficacy have been established in women between 18 and 40 years of age. 1 implant, which can be left in place for three years. The safety and efficacy of Nexplanon in adolescents under the age of 18 have not been established. Pregnancy should be excluded before insertion of Nexplanon.

When should I stop taking Nexplanon?

The most important way is by stopping the release of an egg from your ovary. NEXPLANON also thickens the mucus in your cervix and this change may keep sperm from reaching the egg. NEXPLANON also changes the lining of your uterus. *NEXPLANON must be removed by the end of the third year.

Do people gain weight on Nexplanon?

The birth control implant (AKA Nexplanon) may cause weight gain in some people while they’re using it, but this doesn’t happen to everyone. It’s not a very common side effect, and many people use the implant without gaining weight. Everyone’s body is different, so birth control affects everyone a little differently.

When should I be concerned about Nexplanon?

You may become pregnant if the implant comes out by itself. Use a back-up birth control method and call your healthcare professional right away if the implant comes out. The most common side effect of NEXPLANON is a change in your normal menstrual bleeding pattern.

What are the red flags for Nexplanon?

Tell your doctor right away if you have any serious side effects, including: mental/mood changes (such as new/worsening depression), lump in the breast, unwanted facial/body hair, severe stomach/abdominal/pelvic pain, unusual tiredness, dark urine, yellowing eyes/skin, coughing up blood.

Why do people stop using Nexplanon?

The most common side effect of NEXPLANON is a change in your normal menstrual bleeding pattern. In studies, 1 in 10 women stopped using NEXPLANON because of an unfavorable change in their bleeding pattern.

How do you know if your body is rejecting Nexplanon?

Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing, swallowing, or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat.

Who should not get Nexplanon?

You should not use NEXPLANON if you are pregnant or think you may be pregnant; have or have had blood clots; have liver disease or a liver tumor; have unexplained vaginal bleeding; have breast cancer or any other cancer that is sensitive to progestin (a female hormone), now or in the past; or are allergic to anything …

What are the bad things about NEXPLANON?

NEXPLANON may increase your chance of serious blood clots, especially if you have other risk factors such as smoking. It is possible to die from a problem caused by a blood clot, such as a heart attack or a stroke. Some examples of serious blood clots are blood clots in the: Legs (deep vein thrombosis)

What is the age cut off for Nexplanon?

Safety and efficacy have been established in women between 18 and 40 years of age. 1 implant, which can be left in place for three years. The safety and efficacy of Nexplanon in adolescents under the age of 18 have not been established. Pregnancy should be excluded before insertion of Nexplanon.