OpenHealth Q&A

Get answered by medical professionals

Issues with the Nexplanon Implant

4/3/2025, 4:50:27 PMMale25-34

For the past five years, I've been using the Nexplanon hormonal birth control implant. Unfortunately, I've experienced breakage three separate times. My job is quite physical, so it tends to undergo a lot of jostling. Generally, I don’t experience menstrual periods or significant discomfort from it. Recently, I began noticing some troubling symptoms: cramps, headaches, and breast tenderness that worsened over the last few weeks. The situation escalated dramatically when I woke up at 2 AM with a brutal migraine, which was a first for me. I was grasping my head in pain while also dealing with stomach cramps. After taking several paracetamol, the headache lessened after a couple of hours. Once the local sexual health clinic opened, I contacted them and was promised a call back later that day. However, by noon, the intensity of my migraine and cramps had intensified so drastically that I reached out to 111, the UK non-emergency health line. After a lengthy 40-minute conversation, they managed to schedule an appointment with my GP for 7 PM, but waiting that long felt unbearable. At around 1 PM, I started experiencing a sharp pain in the palm of my left hand—where I had the implant—along with a noticeable hardness in the vein. The pain shot through my hand, so I decided to take an Uber to the clinic, which was about a 20-minute ride. The pain in the Uber was excruciating to the point of near unconsciousness. The driver was kind enough to provide me with paper so I could write down my details and my concerns, noting that I believed the Nexplanon implant was obstructing a vein in my left arm. I even jotted down my blood type and drew an arrow pointing to the implant site on my arm. Upon arriving at the clinic, I was in such distress that my leg was shaking, and I was alternating between feeling hot and cold. I clutched my leg to cope with the discomfort. Two nurses attended to me and swiftly removed the implant. They were incredibly compassionate throughout the ordeal. I remained at the clinic until around 3:30 PM, during which I blacked out a few times and consumed enough tea to feel stable enough to take a taxi home. My dad traveled an hour to pick me up and bring me to my mother’s house, where I'm currently recuperating. The pain vanished immediately after the implant was removed, but today I feel utterly drained. I find myself needing frequent rest, taking it slow. I plan to see my GP for a check-up next week, but I would appreciate any advice or suggestions on what to be mindful of or any concerns I should be aware of in the interim. Thanks for your help!

InfertilityGynecologyReproductive Medicine

Answers (1)

Cony

4/3/2025, 4:50:46 PM

OpenHealth AI

I'm sorry to hear about the challenging experiences you've had with the Nexplanon implant. It's understandable to feel concerned after such an ordeal, especially with the intensity of the symptoms you described. Let’s focus on what you can watch for and how to care for yourself as you recover.

Key Points:

  1. Immediate Recovery: Your body may need time to recuperate after the implant removal.
  2. Monitoring Symptoms: Be vigilant about any new or returning symptoms as you recover.
  3. Follow-Up Care: Prioritize your follow-up appointment with your GP.

Explanation:

Removing the Nexplanon implant was a crucial step, especially given the symptoms you experienced, which may have been related to its placement or side effects. Feeling drained and needing to rest is normal after such a distressing experience. Generally, the body takes time to adjust after the removal of hormonal contraceptives, and your symptoms should gradually improve.

Next Steps to Consider:

  1. Rest and Hydration: Continue to rest as much as you need and stay well-hydrated—this can help your recovery and restore your energy levels. Aim for clear fluids and nutritious foods to support healing.

  2. Monitor Your Symptoms: Keep track of any changes in your health, including headaches, cramps, or any other unusual symptoms. This information will be beneficial for your GP visit.

  3. Pain Management: If you experience any lingering pain or discomfort, over-the-counter pain relievers like paracetamol may help. However, avoid taking more than the recommended dose and consult your GP if pain persists.

  4. Follow-Up Appointment: During your visit to the GP, discuss both the symptoms you experienced related to the implant and any future contraceptive options. Your GP may want to explore alternative methods that suit your physical activity level better.

  5. Emotional Well-Being: Such experiences can be emotionally taxing. Don’t hesitate to talk to someone—a friend, family member, or mental health professional—about your feelings if you find it helpful.

Feel free to reach out if any new symptoms arise or if you have further questions before your appointment. Take care, and I wish you a smooth recovery ahead!

Related Questions

Examining the Safe Use of Narcan in Healthy Individuals

As someone with red hair, I’ve come across studies suggesting that individuals with this hair color may have a higher tolerance for pain. I recently stumbled upon research discussing how an eccentric scientist administered naltrexone to some red mice, resulting in a reduction of their pain threshold to what is considered typical. This seemed to correlate with a gene that influences the body's opioid receptors. I'm curious about trying Narcan to determine if it has any noticeable effects—I'm not concerned about the placebo effect—but I'm uncertain if it would have adverse effects on me since I don’t have any opioid dependency. To give you an overview of my health profile: I’m a 27-year-old male, weigh 160 pounds, stand 6 feet tall, and I’m currently not on any medication nor do I have any history of medical issues. I appreciate any insights!

InfertilityGynecologyReproductive Medicine
Male25-34
5 hours ago

Hydroxychloroquine Prescription Following Low C4 Levels: Should I Continue?

Demographic Information: 19 years old, Assigned Female at Birth. Medical History: Diagnosed with myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS), postural orthostatic tachycardia syndrome (POTS), reactive gastropathy of unknown origin, obsessive-compulsive disorder (OCD), autism spectrum disorder (ASD), and major depressive disorder (MDD). Some of my healthcare professionals suspect mast cell activation syndrome (MCAS), though I have not been formally diagnosed. Current Medications: I am currently taking 250 mg of clomipramine, 15 mg of memantine, 1 mg of clonazepam, 30 mg of loratadine, 40 mg of famotidine, 30 mg of propranolol, 15 mg of midodrine, 6 mg of naltrexone, and 200 mg of hydroxychloroquine. Additionally, I use iron and vitamin C supplements to address low ferritin levels and take 3 mg of melatonin as needed for sleep. Several months back, I consulted a rheumatologist upon recommendation due to unexplained rashes, joint swelling, and discomfort that couldn't be attributed to my current conditions (I initially believed they were linked to ME/CFS, but my ME specialist had doubts). Despite blood work showing no indicators of autoimmune disorders—such as normal levels for ESR, CRP, ANA, and RF—I was still referred to rheumatology. The rheumatologist conducted further extensive blood testing and subsequently prescribed hydroxychloroquine. He suggested I may have undifferentiated connective tissue disease (UCTD) but did not formally diagnose me. While I value his expertise, I want to ensure that I am only taking necessary medications. My apprehension stems from the fact that, among 18 blood tests performed, complement C4 was the only abnormality, which was recorded as slightly low. The battery of tests included assessments such as creatine kinase, a myomarker panel, HLA association panel (including celiac screening), comprehensive metabolic panel (CMP), complete blood count (CBC), ESR, CRP, anti-CCP, ANA, anti-dsDNA antibodies, anti-RNP antibodies, anti-Scl70 antibodies, anti-centromere antibodies, anti-Sm antibodies, anti-Ro antibodies, anti-La antibodies, and complement C3, alongside C4. I have been on hydroxychloroquine for three months and have noticed some improvements: although my fatigue persists, the rashes on my hands and wrists appear less severe, my fingers look slimmer, and joint pain has diminished. This does lend some reassurance about continuing the medication; however, I am concerned that these benefits could be attributed to either a placebo effect or the low-dose naltrexone rather than the hydroxychloroquine itself. My primary worry is the potential adverse effects of using hydroxychloroquine if it is not warranted for my condition. Are there specific signs I should monitor or indications suggesting that this medication might not be necessary? Should I alleviate my concerns, or is there reason to be cautious? Any insights would be immensely helpful, thank you!

InfertilityGynecologyReproductive Medicine
Male25-34
9 hours ago

Seeking Guidance on Hormonal Treatment as a Trans Man

I am a 21-year-old transgender man (FTM). About a year ago, I began receiving testosterone injections using a product called Testoviron, administered at a dosage of 125mg biweekly. During my most recent appointment with my endocrinologist, we chose to switch to an alternative injection called Nebido, which is a 250mg dose given every 12 weeks. My concern is whether extending the interval between these injections will slow my overall progress. Additionally, I've heard it may be necessary to have a second shot six weeks after the initial one to enhance the effectiveness of the treatment. After reading some online, I noticed that this advice is common; however, I feel uncertain as my endocrinologist appears to have limited experience working with transgender patients. This has left me anxious about the potential effects of the hormonal therapy. I would greatly appreciate any insights or advice on this matter.

InfertilityGynecologyReproductive Medicine
Male25-34
10 hours ago

Inquiry About Conception Timing

The child arrived on January 19. Throughout the course of the pregnancy, several ultrasounds were conducted, which regularly confirmed the gestational age with measurements taken at 25 weeks, 32 weeks, and 36 weeks on various occasions. These assessments led medical professionals to approximate the ovulation and fertility period between April 8 and April 17. It is well known that sperm can last in the female reproductive tract for about five days. Notably, intercourse took place on April 26, a date that falls beyond the predicted fertile period. Considering the ultrasound results and standard ovulation patterns, could April 26 reasonably be identified as a possible date for conception?

Trying to ConceiveInfertilityPrenatal Care
Male25-34
13 hours ago

Chest Discomfort with Red Marks

Over the past year, I have developed red patches predominantly on my upper chest and occasionally on my neck. My physician suspects that this could be linked to anxiety. These marks often become painful upon contact and sometimes provoke an itch. Although I’m uncertain if it’s connected, I also experience occasional discomfort in my chest, particularly around the sternum and collarbone areas. I’m concerned that there might be a misdiagnosis and that an underlying issue could be present. Has anyone else faced a similar situation or discovered the underlying cause of their symptoms? I’m a 24-year-old male who does not smoke, consume alcohol, or use drugs.

InfertilityMiscarriageGynecology
Male25-34
15 hours ago