A contraceptive implant, such as Nexplanon, offers a highly effective method of long-acting reversible contraception (LARC). This small device prevents pregnancy over an extended period. While recognized for its efficacy, individuals often express concerns about its potential influence on skin health, particularly regarding acne.
Understanding the Contraceptive Implant
The contraceptive implant is a slender, flexible rod, approximately the size of a matchstick, that a healthcare provider inserts just beneath the skin on the inner side of the upper arm. This device continuously releases a synthetic hormone called etonogestrel into the bloodstream. Etonogestrel is a type of progestin. The implant works primarily by preventing the release of an egg from the ovary. It also thickens the mucus in the cervix, making it more difficult for sperm to reach an egg, and thins the lining of the uterus.
Hormones and Skin Health
Hormones play a significant role in influencing skin health, particularly in acne development. Androgens, present in both sexes, are key contributors to acne formation. These hormones stimulate sebaceous glands, leading to increased sebum (oil) production. Excessive sebum can clog pores, creating an environment conducive to bacterial growth and inflammation. Maintaining a balanced hormonal environment is important for clear skin.
The Implant’s Impact on Acne
The contraceptive implant releases etonogestrel, a progestin, and its effect on acne can vary considerably among individuals. Some users may experience new or worsened acne, while others might notice no change or even an improvement in their skin. Progestins, including etonogestrel, can sometimes exhibit androgenic effects in the body. This can potentially lead to increased oil production by the sebaceous glands in some individuals, contributing to acne breakouts. Acne is a known side effect of the etonogestrel implant, and it is a common reason some users discontinue its use.
Addressing Acne with the Implant
For individuals experiencing acne while using the contraceptive implant, several steps can help manage symptoms. Adopting a consistent skincare routine is beneficial, involving gentle cleansing of the face twice daily. Using products labeled as “non-comedogenic” is advisable, as these are formulated not to clog pores. Over-the-counter treatments containing ingredients like salicylic acid or benzoyl peroxide can be effective in reducing inflammation and unclogging pores. Lifestyle adjustments, such as managing stress and maintaining a balanced diet, may also support skin health.
When to Consult a Healthcare Provider
Consult a healthcare provider if acne becomes severe, persistent, or causes significant pain or scarring. If acne leads to psychological distress or if over-the-counter treatments do not provide sufficient improvement after several months, professional medical advice should be sought. A doctor can evaluate the situation, discuss prescription treatment options, or explore alternative birth control methods if acne significantly affects quality of life.