I had Nexplanon (birth control implant) fitted last week due to recently being active with males and being paranoid I *may* get pregnant - even if it is less than 0.01% chance of it ever happening. Here's a photo a day since then of its progress. I have been on T for 6+ years and the chances are super slim for me, however, I have not had a hysterectomy and so I wanted to be safe not sorry. I was nervous about the process and I was a little down about it for a few days as if I was a cis male, I wouldn't need to take birth control precautions. But the process itself was not scary or painful. There was slight discomfort for a few days and it felt like a bruise, that's all. Was just a little awkward for a couple days. Check with your doctor/gender doctor if it is right for you, but my gender clinic confirmed along with my doctor that Nexplanon was safe for me as it doesn't interfere with testosterone and masculinity (and I would not have the coil fitted). It was not known by anyone what I was having done other than the nurse doing it (who was fab and made me feel comfortable) and my doctor who booked it. The waiting room was full of all sorts of people with all sorts of appointments. Be sure to do what you need to do in order to be safe and prevent any unwanted things happening and talk with your doctor who can make the process easier for you if need be - mine were amazing. Also note that this does not protect you from STDs and you will need to use other protection like a condom for at least 7 days after insertion. I have been feeling hot, mainly my face, which I think is flushes, but other than that I have had no side effects. It can't be seen either. There's no bump or anything that anyone would see and be like 'omg you're a boy but you have the implant?!' Proud of myself and glad I went for it, just gives me that piece of mind. It can be removed any time if needed but other wise it will be changed for a new one in 3 years. Just wanted to share this experience and let any trans guys who are intimate with anyone producing semen (penetration isn't needed), that it's not a bad procedure at all and be safe. Message me if you want any info, to talk, or to ask anything.