Nexplanon is a popular form of hormonal contraceptive implant that helps countless women manage their reproductive health by preventing unwanted pregnancies.
However, as the decision to start a family or expand an existing one is a personal one, many women decide to remove their Nexplanon implant at some point.
After the removal, it’s only natural to have questions about fertility and signs of pregnancy. This article aims to shed light on the various signs of pregnancy after Nexplanon removal, helping you to better understand your body’s transition during this critical period.
Nexplanon is this small, flexible plastic rod (like the size of a matchstick) that’s about 1.6 inches long (4 centimeters) and approximately 2 mm in diameter. It gets inserted right in your inner non-dominant upper arm.
It releases a hormone called etonogestrel, which prevents ovulation and thickens the cervical mucus to keep sperm from reaching an egg.
Studies show that it is 99% effective at preventing pregnancy and can last up to three years. But, its effects are reversible, and fertility can return to normal fairly quickly after removal.
After the removal of Nexplanon, it may take some time for your body to readjust and return to its usual menstrual cycle. Every person’s body reacts differently. Some women might get pregnant shortly after removal, while others might take a few months to a year.
How does Nexplanon work?
Nexplanon works by releasing a steady stream of the hormone etonogestrel into your bloodstream.
This hormone primarily works in two ways. First, it prevents the ovaries from releasing eggs, a process known as ovulation.
Secondly, it thickens the cervical mucus, creating a barrier that makes it significantly more difficult for sperm to reach any eggs that may have been released. By working on these two fronts, Nexplanon effectively prevents conception.
The plus point of Nexplanon is its longevity. Once inserted, it is capable of providing protection against pregnancy for up to three years, giving you long-term peace of mind.
Keep in mind that while Nexplanon is extremely effective at preventing pregnancy, it does not offer any protection against sexually transmitted infections (STIs).
What happens after Nexplanon removal?
After the removal of the Nexplanon implant, your body will start to adapt to the absence of the etonogestrel hormone. The ovaries will gradually resume their normal function and start releasing eggs again, which means that you may be able to get pregnant.
However, this readjustment period can vary greatly among people. Some women may experience their regular menstrual cycle return almost immediately, while others may take weeks or even months.
Furthermore, during this period, it’s advisable to stay in close contact with your doctor. Any unusual or prolonged symptoms post-Nexplanon removal should be reported to your healthcare provider for evaluation.
Remember, even after removing the implant, it’s important to use birth control if you’re not ready to get pregnant yet.
Signs of pregnancy after Nexplanon removal
After the removal of Nexplanon, if you’re trying to conceive, it’s important to understand the signs of pregnancy. According to Mayo Clinic, early signs of pregnancy can start as soon as a week after conception and may include the following:
- Missed period: This is often the first noticeable sign of pregnancy. However, it could be misleading if your cycle hasn’t yet returned to normal after Nexplanon removal.
- Sensitive, swollen breasts: Pregnancy hormones can cause changes in the breasts, making them feel extra sensitive or swollen. The discomfort should start to ease up after a few weeks as your body gets used to the hormonal changes.
- Nausea with or without vomiting: It is also known as morning sickness, which is another common early sign of pregnancy. It may occur at any time of the day or night. It usually starts after 1 to 2 months after you get pregnant.
- Frequent urination: You might find yourself peeing more frequently than usual. When you’re pregnant, the amount of blood in your body goes up, which means your kidneys have to handle extra fluid that eventually finds its way to your bladder.
- Fatigue: As your body starts adapting to the changes of pregnancy, you may feel more tired and exhausted easily. This is due to a combination of hormonal changes, increased blood volume, and other physical demands on your body.
- Food aversions or cravings: It’s common to experience changes in appetite or food preferences during pregnancy. You may develop a dislike for certain foods or crave things you never used to eat before. Similar to other pregnancy symptoms, these food preferences can be attributed to hormonal changes.
If you experience any of these signs post-Nexplanon removal, make sure to take a pregnancy test to confirm. However, keep in mind that some of these symptoms can also be caused by other factors such as stress or changes in diet.
Best time to get pregnant after Nexplanon removal
According to the American College of Obstetricians and Gynecologists (ACOG), the “fertile window” in a woman’s menstrual cycle is the best time to get pregnant.
This window usually lasts for about six days: the five days leading up to ovulation and the day of ovulation itself. A woman’s chances of getting pregnant are highest during the three days before and on the day of ovulation.
After removing Nexplanon, once your period gets back on track,, tracking your ovulation can help determine your fertile window.
There are several other methods to track ovulation, like monitoring basal body temperature and using ovulation prediction kits.
We advise you to first consult with your healthcare provider to choose the best method for you. Remember, this information does not guarantee pregnancy as individual experiences may vary.
Other Important things to know
Certain medications can reduce the effectiveness of the implant. This includes epilepsy, HIV, and tuberculosis medications, as well as certain herbal remedies like St. John’s wort. Here are some important things to know if you have a Nexplanon implant:
- It’s normal for your menstrual cycle to be irregular after Nexplanon removal.
- If you are dealing with long-term or excessive bleeding, consult with your doctor as it could be a sign of an underlying issue.
- If you have not gotten your period after three months post-Nexplanon removal, consult with your doctor to rule out pregnancy or any other potential causes.
- You can totally get pregnant right after removing Nexplanon, so it’s important to use birth control methods if you’re not ready for a pregnancy.
- If you want to plan a pregnancy after Nexplanon removal, consider consulting with your doctor beforehand to discuss any potential risks and steps you can take to prepare your body.
- Always remember that every woman’s experience is unique, so it’s good to stay in touch with your healthcare provider throughout the process.
- Lastly, always prioritize your physical and mental health during this transition period post-Nexplanon removal. Make sure to take care of yourself both physically and emotionally as you adjust back to your body’s natural cycle.
In some cases, there is a possibility of infection in the area of the skin where the implant has been inserted. If this happens, make sure to contact your GP as antibiotics might be needed. Also, it’s a good idea to talk to a GP or visit a sexual health clinic if:
- there’s no sensation,
- the implant feels different in shape,
- you observe any changes in the skin or experience pain at the site,
- In case of pregnancy.
When to take a pregnancy test after Nexplanon removal?
When it comes to taking a pregnancy test, the timing depends on a woman’s menstrual cycle. If her period is regular, it’s best to wait at least one day after missing it before taking a test. That’s when the hormone human chorionic gonadotropin (hCG) reaches a detectable level.
According to the American College of Obstetricians and Gynecologists (ACOG), the majority of women can get pregnant shortly after the removal of their implant, such as Nexplanon.
If a woman’s cycle is irregular, or if she doesn’t remember when her last period was, she should wait at least three weeks after having unprotected sex to take a pregnancy test. This gives her body enough time to produce sufficient hCG if she’s really pregnant.
If the test is taken too early, the low levels of hCG may result in a false-negative test result. It’s always best to consult with a healthcare provider for the most accurate information.
Nexplanon is an effective form of contraception but it’s important to understand the potential for pregnancy after its removal. If you wish to get pregnant or have concerns about pregnancy, consult with your doctor, who can provide personalized guidance based on your unique circumstances. Remember, every person’s body is different, and fertility can vary. Taking a proactive approach to your reproductive health ensures informed decisions and peace of mind.
Q: Are there any chances of getting pregnant after Nexplanon removal?
Yes, there are chances of getting pregnant after Nexplanon removal. The return to fertility varies, but most women can conceive within a few months after the removal. It’s recommended to consult with a healthcare provider for personalized guidance. It’s also important to note that signs of pregnancy can be different for everyone and taking a pregnancy test is the most reliable way to determine if you are pregnant.
Q: Can birth control decrease fertility?
No, most forms of birth control do not decrease fertility. Once you discontinue use, your ability to get pregnant usually returns relatively quickly. This includes Nexplanon. It’s important to note, however, that age and individual health factors can affect fertility.
Q: Can birth control affect pregnancy in the future?
No, birth control does not usually affect future pregnancies. Once a contraceptive method like Nexplanon is discontinued, most women’s fertility will return to its normal level within a few months. If you have concerns or questions about future pregnancy after using birth control, it’s best to consult with your doctor.
- American College of Obstetricians and Gynecologists. Long-Acting Reversible Contraception (LARC): IUD and Implant, FAQ186, April 2016. Retrieved from [ACOG.org](https://www.acog.org/womens-health/faqs/long-acting-reversible-contraception-iud-and-implant)
- American Pregnancy Association. Pregnancy Test: 5 Signs You Should Take One. Retrieved from AmericanPregnancy.org