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This product is a small, thin plastic rod that is inserted under the skin to prevent pregnancy. The rod slowly releases etonogestrel into the body over a 3-year period. Etonogestrel is similar to a natural hormone made in your body. It works mainly by preventing the release of an egg (ovulation) during your menstrual cycle. It also makes vaginal fluid thicker to help prevent sperm from reaching ..
1 Additionally, the implant may come out by itself. 2  You may become pregnant if the implant comes out by itself. 3  Use a back up birth control method and call your health care provider right away if the implant comes out. 4  The most common side effect of NEXPLANON is a change in your normal menstrual bleeding pattern. If you become pregnant while using NEXPLANON, you have a slightly higher chance that the pregnancy will be ectopic (occurring outside the womb) than do women who do not use birth control. 2  Ectopic pregnancies can cause serious internal bleeding, infertility, and even death.