It may feel strange to reach a point where your family might feel complete — or you’re simply not sure what comes next. At this time in your life, birth control can feel like one more thing to manage in a life that’s already very full.
Between school drop-offs, work, schedules that change daily, and a mental load that never really turns off, even small decisions can take real energy. When you’re a mom, it's natural to want fewer things competing for your attention.
It may be important to take a breath and think about birth control now — not years ago, not before kids, not in an earlier chapter. Just in the life you're living today.
Before your next Ob-Gyn visit, consider a few quick questions:
· How often do you want to take birth control?
· What option may be appropriate for you today?
· What birth control options are available to you?
· Could a long-acting, reversible option be right for you?
For some women in this stage of life, long-acting, reversible contraception (LARC) is part of that conversation. LARC is highly effective at preventing pregnancy, lasts for several years (depending on the option), is reversible, and can be removed by a trained healthcare provider if your plans change. The two main types of LARC are the implant, which is placed under the skin of the upper arm, and intrauterine devices (IUDs), which are inserted into the uterus.
“After everything my body has been through with pregnancy and delivering 5 babies, I know I'm not ready for another baby right now. At the same time, I'm not sure if our family is complete, so it was important for me to choose a birth control option that fits where I am in my family planning journey.
Right now, my focus is on my husband and raising our 5 kids, so after talking with my doctor, I chose long-acting, reversible pregnancy prevention.” – Leslie Moncada Lewis, NEXPLANON patient, Organon partner and social media content creator.
One of the options that may be worth asking your healthcare professional about is NEXPLANON® (etonogestrel implant) 68 mg Radiopaque, the only FDA-approved arm implant. NEXPLANON is a long-acting prescription birth control for the prevention of pregnancy in women of reproductive potential for up to 5 years and is over 99% effective.† NEXPLANON must be removed by the end of the fifth year.
†Less than 1 pregnancy per 100 women who used NEXPLANON for one year.
Indication
NEXPLANON is a prescription medication for the prevention of pregnancy for up to 5 years.
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IMPORTANT SAFETY INFORMATION
You should not use NEXPLANON if you are pregnant or think you may be pregnant; have or have had blood clots; have liver disease or a liver tumor; have unexplained vaginal bleeding; have breast cancer or any other cancer that is sensitive to progestin (a female hormone), now or in the past; or are allergic to anything in NEXPLANON.
Talk to your healthcare professional about using NEXPLANON if you have diabetes, high cholesterol or triglycerides, headaches, gallbladder or kidney problems, history of depressed mood, high blood pressure, or allergy to numbing medicines (anesthetics) or medicines used to clean your skin (antiseptics). These medicines will be used when the implant is placed into or removed from your arm.
Immediately after the NEXPLANON implant has been placed, you and your healthcare professional should check that the implant is in your arm by feeling for it. If at any time you cannot feel the NEXPLANON implant, contact your healthcare professional immediately and use a non-hormonal birth control method (such as condoms) until your healthcare professional confirms that the implant is in place. You may need special tests to check that the implant is in place or to help find the implant when it is time to take it out.
The implant may not be actually in your arm due to failed insertion. If this happens, you may become pregnant. Removal of the implant may be very difficult or impossible if the implant is not where it should be. Special procedures, including surgery in the hospital, may be needed to remove the implant. If the implant is not removed, then the effects of NEXPLANON will continue for a longer period of time. Other problems related to insertion and removal may also occur, including vasovagal reactions (such as a drop in blood pressure, dizziness, or fainting), pain, irritation, swelling, bruising, numbness and tingling, scarring, infection, injury to the nerves or blood vessels, and breaking of the implant. Additionally, the implant may come out by itself. You may become pregnant if the implant comes out by itself. Use a back-up birth control method and call your healthcare professional right away if the implant comes out.
The most common side effect of NEXPLANON is a change in your normal menstrual bleeding pattern. In studies, 1 out of 10 women stopped using the implant because of an unfavorable change in their bleeding pattern. You may experience longer or shorter bleeding during your periods or have no bleeding at all. The time between periods may vary, and you may also have spotting in between periods.
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. Ectopic pregnancies can cause serious internal bleeding, infertility, and even death. Call your healthcare professional right away if you think you are pregnant or have unexplained lower stomach (abdominal) pain.
The use of NEXPLANON may also increase your chance of serious blood clots, especially if you have other risk factors, such as smoking. If you smoke and want to use NEXPLANON, you should quit. Serious blood clots can occur within blood vessels of different parts of the body, including legs (deep vein thrombosis), lungs (pulmonary embolism), brain (stroke), heart (heart attack), and eyes (total or partial blindness). It is possible to die from a problem caused by a blood clot, such as a heart attack or stroke. Tell your healthcare professional at least 4 weeks before if you are going to have surgery or will need to be on bed rest, because you have an increased chance of getting blood clots during surgery or bed rest.
Cysts may develop on the ovaries and usually go away without treatment, but sometimes surgery is needed to remove them.
Besides changes in menstrual bleeding patterns, other common side effects reported in women using NEXPLANON include headaches; vaginitis (inflammation of the vagina); weight gain; acne; breast pain; viral infection such as sore throats or flu-like symptoms; stomach pain; painful periods; mood swings, nervousness, or depressed mood; back pain; nausea; dizziness; pain; and pain at the site of insertion. Implants have been reported to be found in a blood vessel, including a blood vessel in the lung.
Call your healthcare professional right away if you have pain in your lower leg that does not go away; severe chest pain or heaviness in the chest; sudden shortness of breath, sharp chest pain, or coughing blood; symptoms of a severe allergic reaction, such as swollen face, tongue, or throat and trouble breathing or swallowing; sudden severe headaches unlike your usual headaches; weakness or numbness in your arm or leg or trouble speaking; sudden partial or complete blindness; yellowing of your skin or whites of your eyes, especially with fever, tiredness, loss of appetite, dark-colored urine, or light-colored bowel movements; severe pain, swelling, or tenderness in the lower stomach (abdomen); lump in your breast; problems sleeping, lack of energy, tiredness, or feeling very sad; or heavy menstrual bleeding or if you feel that the implant may have broken or bent while in your arm.
NEXPLANON does not protect against HIV or other STDs.
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit http://www.fda.gov/medwatch or call 1-800-FDA-1088.
Please read the Patient Information for NEXPLANON and discuss it with your healthcare professional. The physician Prescribing Information, including the Boxed Warning, also is available.
Start the Conversation—Determine a Birth Control Option With Your Doctor for Your Story
If you’re interested in exploring NEXPLANON or any LARC, talk with your healthcare professional to help determine what’s right for you and your health. Learn more about NEXPLANON at www.NEXPLANON.com.
© 2026 Organon group of companies. All rights reserved. ORGANON and the ORGANON Logo are trademarks of the Organon group of companies. US-XPL-118284 10/26
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