Implanon (contraceptive implant)

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Risks

By Mayo Clinic staff

Implanon doesn't offer protection from sexually transmitted infections (STIs).

Less than 1 out of 100 women who use Implanon for one year will get pregnant. If you do conceive while using Implanon, there's a higher chance that the pregnancy will be ectopic — when the fertilized egg implants outside the uterus, usually in a fallopian tube.

Side effects associated with Implanon include:

  • Abdominal or back pain
  • Acne
  • An increased risk of noncancerous ovarian cysts
  • Changes in vaginal bleeding patterns, including absence of menstruation (amenorrhea) — although irregular bleeding may lessen within three to nine months
  • Decreased sex drive
  • Dizziness
  • Hair loss
  • Headaches
  • Mild insulin resistance
  • Mood swings and depression
  • Nausea or upset stomach
  • Potential interaction with other medications
  • Sore breasts
  • Vaginal inflammation or dryness
  • Viral infections
  • Weight gain
References
  1. Schorge JO, et al. Contraception and sterilization. In: Schorge JO, et al. Williams Gynecology. New York, N.Y.: The McGraw-Hill Companies, Inc.; 2008. http://www.accessmedicine.com/content.aspx?aID=3151449. Accessed Nov. 21, 2011.
  2. Implanon (prescribing information). Kenilworth, N.J.: Merck & Co., Inc.; 2009. http://www.implanon-usa.com/en/HCP/learn-about-it/full-prescribing-information/index.asp. Accessed Nov. 21, 2011.
  3. Birth control methods fact sheet. U.S. Department of Health and Human Services. http://www.womenshealth.gov/publications/our-publications/fact-sheet/birth-control-methods.cfm. Accessed Nov. 21, 2011.
  4. Nexplanon (prescribing information). Kenilworth, N.J.: Merck & Co., Inc.; 2011. http://www.merck.com/product/prescription-products/home.html. Accessed Nov. 21, 2011.
  5. Darney PD. Etonogestrel contraceptive implant. http://www.uptodate.com/home/index.html. Accessed Nov. 21, 2011.
  6. Raymond EG. Contraceptive implants. In: Hatcher RA, et al. Contraceptive Technology. 20th ed. New York, N.Y.: Ardent Media, Inc.; 2011:193.
  7. Etonogestrel implant. U.S. Food and Drug Administration. http://www.accessdata.fda.gov/scripts/cder/drugsatfda/index.cfm?fuseaction=Search.DrugDetails. Accessed Nov. 18, 2011.
  8. Harms RW (expert opinion). Mayo Clinic, Rochester, Minn. Nov. 25, 2011.
MY01007 Jan. 21, 2012

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