Birth Control Implant: Everything You Need to Know

The birth control implant is a highly effective and long-lasting contraceptive method that provides up to five years of protection against pregnancy. This small, flexible rod is inserted under the skin of the upper arm and works by releasing progestin, a hormone that prevents ovulation and thickens cervical mucus to block sperm.

For women looking for a low-maintenance and reversible birth control option, the implant is one of the best choices available. Let’s explore how it works, its advantages, potential side effects, and what to expect during insertion and removal.

How Does the Birth Control Implant Work?

The birth control implant, commonly known as Nexplanon, is a tiny plastic rod (about the size of a matchstick) that continuously releases progestin into the bloodstream. This hormone prevents pregnancy by:

✔ Stopping ovulation – No egg is released, so sperm cannot fertilize it.✔ Thickening cervical mucus – Sperm cannot pass through the cervix easily.✔ Thinning the uterine lining – If fertilization occurs, the egg is less likely to implant.

Once inserted, the implant works 24/7, eliminating the need for daily pills, patches, or injections.

Effectiveness of the Birth Control Implant

The implant is one of the most effective birth control methods, with a 99% success rate. This means fewer than 1 in 100 women using the implant will get pregnant each year. It is as reliable as IUDs and significantly more effective than the pill, patch, or condoms.

Since the implant works automatically, it eliminates the risk of human error, such as forgetting to take a pill or using a condom incorrectly.

Benefits of the Birth Control Implant

1. Long-Lasting Protection

The implant lasts for up to five years, making it a convenient choice for those who don’t want to worry about contraception regularly.

2. Highly Effective

With a 99% success rate, the implant is as reliable as sterilization but completely reversible.

3. No Daily Maintenance

Unlike birth control pills, the implant does not require daily attention, reducing the chances of missed doses.

4. Quick and Simple Procedure

The insertion and removal of the implant take only a few minutes and are done under local anesthesia.

5. Fertility Returns Quickly

Once the implant is removed, fertility returns within a few weeks, making it easy to plan a pregnancy when ready.

6. Safe for Women Who Cannot Use Estrogen

Since the implant contains only progestin, it is an excellent option for women who cannot use estrogen-based birth control due to health conditions.

7. May Reduce Menstrual Symptoms

Many women experience lighter or no periods, making the implant a good option for those with heavy or painful menstrual cycles.

Possible Side Effects

While the implant is safe for most women, some may experience:

🔹 Irregular bleeding (spotting, lighter or heavier periods, or no periods at all)🔹 Headaches🔹 Breast tenderness🔹 Mood swings🔹 Weight changes (not common)

These side effects often subside within the first few months. However, if they persist or become bothersome, speaking with a healthcare provider is recommended.

Insertion and Removal Process

How is the Implant Inserted?

✅ A doctor numbs a small area of your upper arm with local anesthesia.

✅ The implant is inserted just under the skin using a special applicator.

✅ The entire procedure takes less than five minutes and is painless.

How is the Implant Removed?

✅ A small incision is made to remove the implant from under the skin.

✅ If you want continued protection, a new implant can be inserted immediately after removal.

Both insertion and removal are quick, safe, and leave minimal scarring.

Who Should Consider the Birth Control Implant?

This method is ideal for women who:

✅ Want a long-term and low-maintenance birth control method.

✅ Prefer a reversible contraceptive that allows for future pregnancies.

✅ Cannot use estrogen-based birth control due to medical conditions.

✅ Experience heavy or painful periods and want relief.

However, the implant may not be suitable for women who:

❌ Have a history of breast cancer.❌ Experience unexplained vaginal bleeding.❌ Have liver disease or blood clotting disorders.❌ Are uncomfortable with hormonal birth control.

Myths and Facts About the Birth Control Implant

🚫 "The implant causes infertility."

✅ False! Fertility returns quickly after removal.

🚫 "The insertion process is painful."

✅ False! The area is numbed, and most women feel little to no discomfort.

🚫 "The implant moves around inside the body."

✅ False! It stays in place under the skin until removed by a doctor.

🚫 "It causes excessive weight gain."

✅ False! Most women experience no significant weight changes.

Conclusion

The birth control implant is one of the best options for women seeking long-term, highly effective, and reversible contraception. With up to five years of protection, no daily maintenance, and quick fertility recovery, it is an excellent choice for those wanting a reliable, hassle-free birth control method.