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I have nexplanon implant and my last period ended - Answered by a verified OB GYN Doctor We use cookies to give you the best possible experience on our website Read More. I have nexplanon implant and my last period ended - Answered by a verified OB GYN Doctor We use cookies to give you the best possible experience on our website If you take Augmentin with oral birth control, you can keep taking your birth control as your doctor has instructed. Consult your Doctor Does augmentin decrease the effectiveness of birth control implant. Torres, Pharm Augmentin can make birth control pills less effective. This causes the birth control to fail because the hormone levels are reduced and become less effective. As a result, your body may not absorb enough of the birth control to be effective for preventing pregnancy. 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