Nexplanon, endometriosis, and metabolism issues

I've had my implant for almost 2 years, but because of metabolism issues I'm wondering if maybe it's wearing off quicker? Anyone know of what might be a cause? I'm on nexplanon as a 8th attempt at birth control to assist in pains from Endometriosis, but I can't see my normal gyno, I'm abroad, and my endocrinologist who gave me the initial diagnosis has since retired.