Is it true that the birth control implant can cause mood swings and acne? What should I know about the implant?

Melicia Escobar, MSN, CNM (Certified Nurse Midwife) answered (2/6/2013)

The method of birth control that can be implanted under the skin is called Implanon or Nexplanon. It contains only progestin which is a hormone that makes it effective by preventing ovulation and thickening cervical mucous. It is a highly effective method because it's always on board. AND, it lasts for up to three years!

Like any hormonal contraceptive option, there are side effects and risks. When the implant has been researched, 13.5% of users report increase in acne and less than 10% of users report an impact on their emotions (like mood swings). If it is already in place and you are experience these or any other new minor symptoms, I would give it six months before you talk to your GYN provider about making a switch. Call your GYN provider immediately if you experience any ACHES:

(A) severe abdominal pain.
(C) severe chest pain.
(H) severe headaches.
(E) severe extremity (leg/arm) pain.
(S) changes in sight.

If you're considering getting the implant, I recommend consulting with your GYN provider to make sure that you do not have any conditions that would make it unsafe for you. I would also recommend checking out bedsider.org for a closer look at the implant's benefits (including lighter periods and help with PMS). There, you can compare the implant with the other options so that you may have a more informed conversation with your provider.

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Evelyn Resh MPH,CNM (Certified Sexuality Counselor & Nurse-Midwife) answered (2/8/2013)

Before I recommend a progesterone-only method of birth control to any patients, I always ask them if they have ever had any problems with depression in the past, are depressed at present, or if any relatives have a significant history of depression. If their answer is "yes," I am very hesitant to prescribe a progesterone-only birth control method, such as Implanon. In general, Progesterone is NOT a mood-friendly hormone and it can give have a side-effect of mood-swings such as you're describing. If you have noticed this since having the Implanon implanted, I suggest you reflect on the events in life since having it impanted. If you cannot identify any thing(s) that could lead to a dramatic increase in stress level - such as a death of a loved one, a big move, or a new job - then I would have the Implanon removed. See how you feel after a month while using condoms in the meantime. The, start back on another type of birth control that isn't just progesterone.