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The etonogestrel implant, also called the contraceptive implant, or known by trade names Nexplanon or Implanon is one type of progestin-releasing birth control device implanted under the skin. It is approved for up to three years of use, but may be effective for up to five years.
It contains ethinylestradiol, an estrogen, and etonogestrel, a progestin. [2] It is used by insertion into the vagina. [1] Pregnancy occurs in about 0.3% of women with perfect use and 9% of women with typical use. [3] Common side effects include irregular vaginal bleeding, nausea, sore breasts, vaginitis, mood changes, and headache. [4]
Etonogestrel is a progestin, or a synthetic progestogen, and hence is an agonist of the progesterone receptor, the biological target of progestogens like progesterone. [16] It works by stopping ovulation , thickening the mucus around the opening of the cervix , and altering the lining of the uterus . [ 17 ]
Impacts on menstruation may decrease over the lifespan of the IUD, but spotting between menstruation may become more frequent over time. For some users, these side effects lead them to discontinue use. [23] The most common side effect of the contraceptive implant is irregular bleeding, which includes both reduced and increased levels of ...
When using the subdermal progestogen-only implants, unpredictable bleeding continues and amenorrhea is not commonly achieved amongst patients. [12] Progestogen-only contraceptive pills (sometimes called the "mini pill") are taken continuously without a 7-day span of using placebo pills, and therefore menstrual periods are less likely to occur ...
Irregular vaginal uterus lining shedding is a common pattern with Norplant users; if this occurs it will be seen during the first 60 days of use but it can subside or disappear over time. [11] The Implanon also has these negative side effects causing a considerable amount of vaginal bleeding irregularities, and amenorrhea in about 30–40% of ...