Implant (Nexplanon)

The hormonal IUDs, shot, implant, and progestin-only pill have all been shown to overall reduce periods for most people. For some people, that means they don’t get a period at all, but for others it can cause bleeding when you aren’t expecting it even if you have less total bleeding.

You can use the pill or the ring continuously to intentionally skip your period altogether.

If the implant is new to you (that means 6 months or less) and the side effects are bearable, you may want to give it a little more time as hormone levels will start to level off, so those hormonal side effects tend to go away.

Most birth control methods will not cause weight gain. Everyone’s body responds to birth control differently, but research shows that the pill, patch, the hormonal IUD, the ring, and non-hormonal birth control methods like a copper IUD or condoms don’t cause weight gain (or loss). Studies do show that about 1 in 4 people who use the shot will gain some weight (around 5% of body weight).

Using a method of birth control with estrogen, like the pill, patch, or ring, increases the risk of forming a blood clot, but the risk is so low that if you don’t have any factors that increase your chances of having a blood clot, you can safely use all types of birth control. If you do have an increased risk of blood clots because you’ve had one before you’ve had a stroke or heart attack, or you have a medical condition that increases your risk of a blood clot, like high blood pressure, then adding birth control with estrogen to the mix increases your risk too much and it’s not recommended that you use birth control with estrogen in it. But that doesn’t mean there isn’t a birth control method for you! 


If you can’t take estrogen, you have quite a few options available to you. First you have the non-hormonal methods, like the copper IUD. You can also use any of the hormonal methods that only contain progestin, not estrogen, like the implant, mini-pill, shot, and hormonal IUDs, like Mirena, Skyla, Liletta, and Kyleena. These don’t increase your risk of blood clots and are all really good at preventing pregnancy.

If you’re worried about blood clots or don’t know if you have risk factors, talk to a health care provider about which birth control methods are options for you.

The implant can improve dysmenorrhea (which is severe pain during one’s period). And, since it doesn’t contain estrogen, it can be used by breastfeeding women, smokers over 35, and others who cannot tolerate estrogen.

Yes. Ibuprofen and other NSAIDs, like naproxen, can decrease menstrual flow and cramping. So if you have heavy or painful periods, your health care provider may recommend taking ibuprofen to help reduce heavy flow and/or cramping. It can also help reduce the irregular bleeding that is sometimes a side effect of progestin-only birth control methods like the shot or the implant.

For most people, the risk of blood clots when using the ring, the patch, or the combined birth control pill (which is the most common type of pill) is low. But smoking increases this risk. If you are over 35 and smoke 15 or more cigarettes a day, the combination pill, patch, and ring are not safe options for you. If you’re over 35 and you smoke less than 15 cigarettes a day, talk to your provider about whether these birth control methods are safe options for you. People who smoke can always use the IUD, the implant, the shot, the mini-pill (progestin-only pill), and any method that is hormone free (like condoms, for example).

If you feel like your birth control is changing your behavior, it’s time to talk to your health care provider. Everybody responds to birth control differently, and your provider can help you decide whether it’s time to try something else. It might be a matter of switching hormonal methods or deciding whether to avoid hormonal birth control altogether, or you may choose to wait it out since some negative side effects go away with time. The bottom line: If your current method is making you feel blah, don’t settle. There are a lot of methods to choose from and sometimes it can take a few tries to get it right.

It can be complicated to tell exactly how hormonal birth control affects mood, but you’re the only one who truly knows how you feel. Everyone reacts to birth control differently, so if you feel your birth control might be contributing to depression, talk with your health care provider. Remember, there are a lot of birth control methods out there—you can find the right one for you!

This is a side effect that may be hard to fix. If you’ve had the implant for a few months or less, it could go away on its own. A health care provider can also offer some options to help with bleeding if you want to keep using the implant. Check out our Provider Perspective “Side effect spotlight: What’s up with spotting?” for more information. Still not working? You might want to check out methods that let you have a predictable period like the pill, the patch, or the ring.

Any medicine has some side effects, but when people hear the negative stuff, it sticks in their brain like a cheesy old song you can’t stop humming. That’s just human nature, and it happens to all of us.

Remember that drug companies list every single scary thing you could possibly experience with a medication. Even if it’s super rare. They have to. It’s the law. So before you run for the hills, consider this: the potential side effects of something as harmless as aspirin are pretty scary when you read them, too. Birth control is definitely worth it if you aren’t ready to have a baby. Trust us, pregnancy has more side effects than we can count. There are so many different birth control methods that there’s something for everyone.

For women with high blood pressure, methods with estrogen–the pill (except for the mini-pill), the ring, and the patch–may make their blood pressure even higher, increasing the risk of a heart attack or stroke. Fortunately there are lots of highly effective birth control options that are safe and estrogen-free like the IUD, the implant, or the shot. Talk to your doctor about your condition and what birth control is best for you.