"because of the effectiveness, i give the nexplanon a 10. but overall, i would give it a 7. i got the nexplanon in sept. 2012 a couple months before i got married and here we are in 2015 and its still just us 3 ( we have a 4.5 year old). the first year of marriage we were having sex 1-3 times a day. after that and since then it&#039;s been like 3-5 times a week. the side effects however suck, i was and still am always nauseous, very light random spotting, still feel myself ovulating resulting in cramps, some minor breaking out (i&#039;m 24 so it&#039;s not puberty lol) nothing too horrible though, and major mood swings ( thanks hubs for understanding). side effects are different with everybody though. so bc of the effectivness, i&#039;d go for another 3 years!"