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HomeAnswersObstetrics and Gynecologyetonogestrel contraceptive implantCan the Nexplanon implant cause two periods every month?

Ever since I got the Nexplanon implant, I have two periods every month. What to do?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Sneha Kannan

Published At May 11, 2020
Reviewed AtApril 1, 2021

Patient's 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 it would decrease my periods. I have been taking the pills for a week, and my period has been on for eight days which is not normal. My period is heavy and light, and then it will stop, then start again. I do not know what I should do. I want my period to go back to normal.

Hello,

Welcome to iclinq.com.

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 bleeding may result in anemia. Continue the pills as advised by your doctor for a month and see for changes in pattern. If it does not reduce even after pills support, you need to meet your doctor for alternative methods of contraception after removing it.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Vidya A Ramasamy
Dr. Vidya A Ramasamy

Obstetrics and Gynecology

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