Can an Expired Nexplanon Make You Sick? Understanding the Myths and Realities

Nexplanon, a popular implant for long-term birth control, boasts effectiveness for up to five years. But what happens when that five-year mark hits? Can an expired Nexplanon make you sick? The answer, like most things in health, is nuanced and requires a deeper dive into the facts.

Myth-busting the “Expired” Label:

Firstly, it’s important to understand that “expired” in the context of Nexplanon doesn’t imply the implant suddenly becomes toxic or harmful. The medication, a synthetic progestin called etonogestrel, doesn’t magically deactivate at five years. Instead, the expiration date indicates the period for which the manufacturer guarantees consistent hormone release. After that point, the release rate may become erratic, potentially decreasing contraceptive effectiveness.

So, can a past-its-prime Nexplanon cause illness?

While anecdotal reports of nausea, headaches, and mood swings linked to an expired Nexplanon exist, research suggests these symptoms are more likely due to other factors:

• Fluctuations in Hormone Levels: The erratic hormone release after expiration can mimic the side effects commonly experienced during the initial adjustment period with Nexplanon. These temporary side effects might include mood swings, irregular bleeding, and breast tenderness.
• Underlying Medical Conditions: Undiagnosed or untreated medical conditions can be easily mistaken for symptoms related to an expired Nexplanon. It’s crucial to rule out other possibilities before attributing discomfort solely to the implant.
• Psychological Factors: The anxiety surrounding an expired implant can manifest in physical symptoms like fatigue, aches, and digestive issues. This phenomenon known as the “nocebo effect” can amplify existing issues or create new ones due to heightened focus on potential problems.

What are the actual risks of an expired Nexplanon?

The primary concern with an expired Nexplanon is its diminished effectiveness in preventing pregnancy. Studies have shown that the rate of pregnancy increases after the five-year mark, although the exact risk percentage varies. This, along with the potential for unpredictable hormonal fluctuations, highlights the importance of timely removal and replacement.

What should you do if your Nexplanon is expired?

Don’t panic! Schedule an appointment with your healthcare provider to discuss removal and potential replacement options. They will assess your individual situation and recommend the best course of action based on your health history, current symptoms (if any), and future family planning desires.

Remember:

• An expired Nexplanon isn’t inherently “dangerous,” but its effectiveness wanes.
• Unexplained symptoms may not be directly related to the implant.
• Timely removal and replacement are crucial for both contraceptive efficacy and peace of mind.

In conclusion, while an expired Nexplanon is unlikely to make you “sick” in the traditional sense, concerns regarding its decreased effectiveness and unpredictable hormone release are valid. Prioritizing removal and replacement upon expiration ensures continued contraceptive protection and minimizes potential discomfort. As always, open and honest communication with your healthcare provider is key to making informed decisions about your reproductive health.

Additional Resources:

• Planned Parenthood: https://www.plannedparenthood.org/learn/birth-control/birth-control-implant-nexplanon
• Centers for Disease Control and Prevention: https://www.cdc.gov/reproductivehealth/contraception/mmwr/spr/implants.html
• Mayo Clinic: https://www.mayoclinic.org/tests-procedures/contraceptive-implant/about/home/ovc-20393614

Remember, this article is for informational purposes only and should not be a substitute for professional medical advice. Consult your healthcare provider for personalized guidance regarding your Nexplanon implant and any concerns you may have.