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Is it normal to have heavy bleeding seven months after Nexplanon?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I got the Nexplanon birth control implant seven months ago, but I am still experiencing irregular and heavy bleeding. Is this normal, or should I be concerned? Please help.

Thank you.

Answered by Dr. Nawrin Hossain

Hi,

Welcome to icliniq.com.

I read your query and can understand your concern.

Irregular and heavy bleeding is a common side effect of Nexplanon, especially within the first six to 12 months. However, if your bleeding is excessive (soaking through a pad or tampon every 1 to 3 hours), lasts for an extended period (more than 10 days), or significantly affects your daily life, it may be a cause for concern.

What you can do:

  1. Non-steroidal anti-inflammatory drugs (NSAIDs): Medications like Ibuprofen or Mefenamic acid may help reduce menstrual flow.
  2. Hormonal treatment: A short course of oral contraceptive pills (OCPs) may help stabilize bleeding.
  3. Ultrasound (USG) of the lower abdomen: This can help check for underlying conditions such as fibroids, polyps, or infections if the bleeding is excessive or prolonged.
  4. Complete blood count (CBC) test: If you experience symptoms of anemia such as fatigue, weakness, or pale skin a blood test can help assess your iron levels.

If your condition worsens or the bleeding becomes severe, do not hesitate to seek immediate medical attention.

I hope this helps.

Kindly revert so I can assist you further.

Thank you.
Medically reviewed byiCliniq medical review team
Published At April 16, 2025
Reviewed AtJune 24, 2026

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Nexplanon Heavy Bleeding Awareness Builder

Experiencing heavy bleeding with Nexplanon?

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Dr. Nawrin Hossain

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