Nexplanon contraception is safe and effective. It is rare that it actually breaks, but here’s one I removed that did.
To be in top form you should review your contraceptive choice with your provider regularly, at least on an annual basis. But there are times you need to get in for an extra discussion!
Here a patient presented after having her Nexplanon for a year and she could feel this break and came in complaining she noticed it was cracked. Generally we do not have to do an ultrasound of the device to check on it.
An office ultrasound of the device showed that it was still in one piece, rarely the crack can get so deep that it is not.
Broken pieces can migrate and make the device harder(but not impossible) to retrieve.
The hormone in Nexplanon is impregnated into the make up of the device itself, so even a small break should not disrupt the dissemination of the hormone. Thus even broken Nexplanons should work, and shouldn’t be the cause of abnormal bleeding.