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Nexplanon is a flexible, etonogestrel-containing, rod that is implanted within the inner side of your upper arm and that provides reliable contraception for up to three years. While Nexplanon is an extremely convenient form of birth control, every woman who uses it will have to have the implant removed sooner or later. 

Have you been experiencing strange symptoms after having your Nexplanon implant removed, or are you simply wondering when you can expect a return to fertility? 

What Side Effects Can You Expect After The Removal Of Nexplanon

The manufacturer of Nexplanon, the earlier version of which was called Implanon, reports that the following side effects are possible upon removal of the device:

  • Temporary pain, bruising, swelling, or irritation at the site where it was located. 
  • The formation of scar tissue, including keloid scars, at the insertion site. It is also possible that scarring already occurred when the Nexplanon implant was first inserted, making it harder to remove the device. 
  • Nerve damage at the insertion site. 
  • Infection. 
  • The device may break into pieces while it is removed, or it may come out spontaneously. (This is why you're advised to contact your healthcare provider if it so happens that you cannot feel the Nexplanon implant anymore.)
  • In some cases, the Nexplanon implant may require surgical removal. 

How Soon After Nexplanon Removal Will I Be Able To Get Pregnant?


The rapid return to fertility is considered one of Nexplanon's main advantages. You may ovulate as soon as a week to 14 days after the Implanon device was removed.

For women who are not yet planning on becoming pregnant, this means that they are wise to line up an alternative method of birth control before having Nexplanon removed. Should you be interested in another long-term birth control option, you can discuss this with your provider at the same time you are having Nexplanon removed. 

I've Been Having Weird Symptoms Since Having Nexplanon Removed — What Is This?

Anecdotally, some women who have recently had Nexplanon removed report unpleasant "side effects" of the removal. These reported side effects of Nexplanon removal include irregular periods, pelvic cramping and pain, migraines, severe mood swings, depression, anxiety, acne, and spontaneous weight loss

Since you've just had your Nexplanon implant taken out, it is easy to conclude that you are experiencing these symptoms because of the removal of your implant — and you are probably right, but perhaps not quite in the way you think. 

The "side effects" you are experiencing can be explained by three things:

  • Hormonal contraceptives themselves have side effects. These cease when you stop using the contraceptive. If you gained weight while using Nexplanon, it is only natural that you lose it once you have it removed. 
  • Hormonal contraceptives have secondary benefits such as managing irregular periods, PMS, acne, and excessive hair growth. Any hormone-related side effects you had before you got Nexplanon are extremely likely to return once you have it removed. If you had Nexplanon for a long time, you may not remember what it was like to have natural menstrual cycles. 
  • It takes a while for your natural hormonal balance to restore itself after you stop using hormonal contraceptives. Your menstrual cycles may, indeed, temporarily become irregular. 

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