February 19, 2026
3 min read

What to Expect After Nexplanon Removal: Periods, Side Effects & Fertility

Medical professional examining a patient’s arm during a Nexplanon implant consultation

Understanding Nexplanon Removal and Hormonal Changes

If you're considering Nexplanon removal or recently had your implant removed, it's completely normal to have questions about what happens next. Many women search for answers about side effects, when their period will return, and how quickly fertility may resume.

Understanding what to expect can help you feel more confident and prepared during this transition.

Common Side Effects After Nexplanon Removal

After the implant is removed, your body begins adjusting to the absence of synthetic hormones. While every person’s experience is different, some common symptoms may include:

  • Mild soreness or bruising at the removal site
  • Temporary irregular bleeding
  • Cramping
  • Mood changes
  • Headaches
  • Breast tenderness

Most physical discomfort at the removal site resolves within a few days. Hormonal adjustments, however, may take several weeks.

If you experience severe pain, prolonged heavy bleeding, or signs of infection, it’s important to contact your healthcare provider.

When Will Your Period Return?

One of the most common questions is: “How long does it take for your period to come back after Nexplanon removal?”

For many women, menstruation returns within a few weeks. Others may notice a delay of one to three months as hormone levels stabilize.

Your cycle may initially be irregular before settling into a more predictable pattern.

If you have concerns about delayed menstruation, speaking with a provider can help determine whether further evaluation is needed.

Can You Get Pregnant Right Away?

Yes — fertility can return quickly after Nexplanon removal.

Because the implant prevents ovulation, once it’s removed, ovulation may resume soon after. Some women are able to become pregnant within weeks.

If pregnancy is not your goal, it’s important to discuss alternative birth control options before or immediately after removal.

If pregnancy is your goal, understanding your cycle and ovulation timing can help you plan accordingly.

Signs Nexplanon Is Wearing Off

If you’re considering removal because you feel your implant may be wearing off, symptoms may include:

  • Return of regular menstrual cycles
  • Hormonal fluctuations
  • Spotting changes

However, Nexplanon remains highly effective for up to three years. A provider can help confirm timing and discuss next steps.

When to Speak With a Healthcare Provider

If you are experiencing:

  • Persistent irregular bleeding
  • Severe abdominal pain
  • Signs of infection at the removal site
  • Difficulty conceiving after several months

It’s important to schedule an evaluation.

If you are considering removal or would like professional guidance, you can learn more about Nexplanon removal services at Southeast Medical Group here:

Symptoms After Nexplanon Removal >>>

Final Thoughts

Every woman’s hormonal response is unique. While many experience a smooth transition after Nexplanon removal, understanding what’s normal can reduce anxiety and help you make informed decisions about your reproductive health.

If you have questions about removal, birth control alternatives, or family planning, a healthcare provider can guide you through the next steps.

Considering Nexplanon Removal?
Schedule an appointment with a Southeast Medical Group provider to discuss your options and next steps.

Schedule an appointment >>>

Frequently Asked Questions About Nexplanon Removal

Ovulation may return quickly after Nexplanon removal. Some women can become pregnant within weeks, while others may take a few months for cycles to regulate.

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