Common "Etonogestrel Contraceptive Implant" queries answered by top doctors | iCliniq

Etonogestrel Contraceptive Implant

Etonogestrel contraceptive implant is used as contraception to prevent pregnancy in women. This implant is available as a small plastic rod, and it is placed under the skin of the upper rm. Hormones are released slowly in the body by thickening the cervical mucus and lining of the uterus, suppressing ovulation. It is effective in preventing pregnancy for up to three years. It has several benefits.

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My periods are delayed despite using contraception. Why?

Query: Hi doctor, I had Nexplanon in for six months and had a period on it for three months straight. But, I did not get period for the last three months. I had it removed before 20 days and no period still. While on it, I would throw up and even after having it removed, I puked. Since being removed, my n...  Read Full »

Dr. Mavani Jimesh Himatbhai

Answer: Hi, Welcome to Nexplanon is a progesterone having implant (Etonogestrel). After insertion, the menses can be irregular or even stopped for 6 months to almost 1 year. But, if you had not gotten your period since last three months and you had regular intercourse, then you should do a ur...  Read Full »

I have a Bleeding and Spotting post-implant. How to stop?

Query: Hello doctor, I am a 24-year-old female who had a contraceptive implant three months ago. I am not taking any medications. I did not get my period for the first two months, but I have been spotting for the past 35 days. What can I do to stop the bleeding and spotting?  Read Full »

Dr. Purushottam Sah

Answer: Hello, Welcome to I can see that you have breakthrough spotting from the attached images (attachment removed to protect the patient's identity). It means the level of hormone released from the implant is insufficient to prevent spotting. I suggest you take a low-dose oral contraceptiv...  Read Full »

Will nexplanon increase the risk of ectopic pregnancy?

Query: Hello doctor, I am 20 years old. I have a 2-year-old kid. I currently have the Nexplanon implant birth control. I had a pregnancy scare a month ago but started my period finally. The day after my period stopped is when intercourse happened. Two days after that I woke up and I had a little bit of bl...  Read Full »

Dr. Sameer Kumar

Answer: Hello, Welcome to Considering the fact that you are using Nexplanon, it is unlikely that the bleed would be probably due to pregnancy or even ectopic simply because Nexplanon is a progesterone implant which prevents ovulation, make the endometrial lining unsuitable for the implant and...  Read Full »

I wanted to know if Ovral causes side effects. Please help.

Query: Hello doctor, Can we rely 100 % on Ovral pills to avoid pregnancy? What are the side effects? Is there any other option with no side effects to avoid pregnancy for two years?  Read Full »

Dr. Monica Mathur

Answer: Hi, Welcome to Ovral pills (combination of Ethinyl estradiol and Levonorgestrel are 100% reliable if taken regularly. They have very few side effects and can be taken same time every day. If you miss one tablet it is okay, but if missed twice, can lead to failure in that particular mo...  Read Full »

Why am I bleeding heavily, six weeks after delivery?

Query: Hi doctor, I am currently (almost) 6 weeks postpartum. I had sex at 4 weeks of postpartum and I got the Nexplanon inserted a couple of days before that. My doctor checked to see whether my uterus was still up high and it was not. Also, I did not have any tearing during birth. My bleeding stopped at ...  Read Full »

Dr. Neha Rathod

Answer: Hi, Welcome to Please get yourself checked by a gynecologist internally and get a pelvic scan done to rule out the exact cause. Post delivery your body is tender and in a state of recovery. It is not yet ready to take so much stress and strain. Usually, this could be due to the Nexplan...  Read Full »

I started to bleed after using the Nexplanon bar. Is it good?

Query: Hi doctor, I am 20 years old. I am 134.3 pounds and approximately 5'6" tall. I am a new mother of 1.5 month old baby girl. I am on birth control and using the Nexplanon bar inserted into the arm postpartum. My issue is that I have started bleeding now. I am not breastfeeding and there is no milk pro...  Read Full »

Dr. Sameer Kumar

Answer: Hi, Welcome to Firstly, after childbirth, there is bleeding in the form of lochia (normal uterus discharge after delivery), which is normal and usually lasts three weeks where the endometrium is shed. Also, breastfeeding promotes early involution of the uterus. So, it is advisable to ...  Read Full »

Can the Nexplanon implant cause two periods every month?

Query: Hi doctor,I have been on Nexplanon for a year after my first baby. Every since the implant, I have two periods every month. Before I started birth control, It was regular, and I knew when I was starting my period. Recently my doctor told me to take birth control pills while on Nexaplanon to see if i...  Read Full »

Dr. Vidya A Ramasamy

Answer: Hello, Welcome to Implanon is associated with altered bleeding patterns. Generally, it settles by a year time, but 15 to 17 percent may continue to have a very heavy and long cycle after Implanon (this is because of the progesterone effect on endometrium). Do take hematinics as heavy b...  Read Full »

Does my continuous period imply that I am losing more eggs?

Query: Hi, I got the contraceptive implant and have been on my period ever since, i’m getting worried about how many eggs i would have passed and weather or not i’ll lose my fertility earlier than i should because of this constant period. Im 18 years old  Read Full »

Dr. Dwipannita Kalita

Answer: Hi, When you said contraceptive implant, I’m guessing it’s Nexplanon. Are you having continuous periods without any days or weeks off without it? Is there any change in the amount of bleeding as Compared before the implant? Is it bleeding or spotting? One of the common side effects of such impla...  Read Full »

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