Nexplanon Complications: What to Know About Infection, Removal, and Your Next Birth Control Steps

When it comes to convenient birth control options, Nexplanon—a small rod-shaped implant that releases hormones to prevent pregnancy—has become increasingly popular. However, like any medical device, complications can occur. From insertion site infections to challenging removals, understanding the potential issues with birth control implants can help you make informed decisions about your reproductive health.

Nexplanon Insertion Site Infections: Recognizing the Signs

While rare, Nexplanon infection is a complication that requires prompt attention. The implant, typically inserted in the inner upper arm, creates a small wound that normally heals quickly. However, sometimes this site can become infected.

Common signs of a Nexplanon infection include:

• Increased redness, swelling, or warmth around the insertion site
• Persistent or worsening pain beyond the first few days
• Pus or discharge from the insertion area
• Fever or general feeling of being unwell
• Implant becoming visible through the skin or beginning to protrude

‘Infections at the Nexplanon insertion site are relatively uncommon but should be taken seriously,’ says Dr. Maria Chen, OB-GYN. ‘Early intervention can prevent more serious complications.’

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Treatment for Birth Control Implant Complications

If you suspect your Nexplanon site is infected, don’t wait to seek medical attention. Treatment approaches vary depending on the severity of the infection:

Mild Infections

For minor infections, your healthcare provider may prescribe:

• Oral antibiotics to fight the infection
• Pressure bandages and steri strips to protect the site
• Detailed wound care instructions

More Severe Infections

With more significant infections, treatment might include:

• Wound flushing to clean the infected area
• Debridement to remove damaged tissue
• Possible early removal of the implant
• Stronger antibiotics, potentially administered intravenously

The Birth Control Implant Removal Process

Whether due to infection, the end of its effectiveness period (typically 3-5 years), or personal choice, understanding what to expect during Nexplanon removal can ease anxiety about the procedure.

What to Expect During Removal

The standard birth control implant removal process involves:

1. Local anesthetic injection to numb the area
2. A small incision near the end of the implant
3. Gentle pushing of the implant toward the incision
4. Grasping and removing the implant with specialized instruments
5. Closing the incision with steri strips or sutures

When Removals Become Complicated

Sometimes, Nexplanon removals aren’t straightforward. Complications can include:

• Implants that have migrated from their original position
• Deep placement requiring specialized imaging to locate
• Implants that have broken into fragments
• Scar tissue formation around the implant

Jamie, who recently had her third Nexplanon removed after 11 years of consecutive use, shares: ‘My third removal was much more difficult than the previous two. The implant had embedded deeper in my arm and required more extensive work to remove it. My doctor mentioned that multiple replacements in the same area can sometimes lead to this issue.’

Healing After Nexplanon Removal or Replacement

Proper healing after hormonal implant procedures is essential for minimizing scarring and preventing infection.

Post-Procedure Care

• Keep the pressure bandage on for 24 hours
• Maintain steri strips in place until they fall off naturally (usually 5-7 days)
• Keep the site clean and dry
• Avoid heavy lifting or strenuous activity with that arm for a few days
• Monitor for signs of infection or unusual bleeding

‘Proper wound care is critical to prevent scarring from implant procedures,’ notes Dr. Chen. ‘Most patients heal well with minimal scarring when following recommended aftercare.’

Hormonal Changes After Birth Control Implant Removal

Your body will undergo changes once Nexplanon is removed, as hormone levels shift back to your natural state.

What to Expect Physically and Emotionally

• Return of natural menstrual cycle (timing varies significantly by individual)
• Possible temporary changes in mood or energy levels
• Changes in skin condition (some experience clearer skin, others might see acne return)
• Potential return of previous menstrual symptoms like cramps or heavier flow
• Fertility returns quickly for most people (important to note if you’re not planning to conceive)

Making Birth Control Decisions After Complications

Experiencing complications with one birth control method naturally leads to questions about alternatives. When considering your next birth control step, reflect on:

Birth Control Alternatives to Consider

1. Non-hormonal options:

• Copper IUD (ParaGard)
• Barrier methods like diaphragms or condoms
• Fertility awareness methods

1. Different hormonal approaches:

• Hormonal IUDs (lower, more localized hormone doses)
• Birth control pills (easily discontinued if issues arise)
• Patches or vaginal rings

1. Permanent options (if your family is complete):

• Tubal ligation
• Vasectomy for male partners

Family Planning Transition: Moving Forward

Whether you’re switching birth control methods due to complications or preparing to conceive, planning the transition is important.

When Transitioning Between Methods

• Discuss overlap timing with your healthcare provider to avoid gaps in protection
• Consider using backup methods during transition periods
• Be aware of potential adjustment periods with new methods

When Planning to Conceive

• Most women return to fertility quickly after Nexplanon removal
• Consider starting prenatal vitamins before removal if planning pregnancy
• Track your cycle to better understand when fertility returns

Making Informed Birth Control Decisions

When making birth control decisions after experiencing complications, consider:

1. Your personal health history and risk factors
2. Previous experiences with different methods
3. Your lifestyle and ability to use methods consistently
4. Future family planning goals
5. Partner involvement in contraceptive responsibility

Taking the Next Step

If you’re experiencing potential Nexplanon infection symptoms or complications, don’t hesitate to contact your healthcare provider. Birth control should enhance your quality of life, not diminish it.

Have you experienced complications with birth control implants or are you considering your options after removal? Schedule a consultation with a healthcare provider who can offer personalized guidance based on your medical history and reproductive goals.

Remember that birth control decision-making is highly individual—what works perfectly for someone else might not be right for you. Open communication with healthcare providers about your concerns and experiences is key to finding the best solution for your reproductive health needs.