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

Question

Hi doctor,

I have been on Nexplanon for a year after my first baby. Ever since the implant, I have had 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.

Kindly help.

Answer 1

Hello,

Welcome to iclinq.com.

Implanon is associated with altered bleeding patterns. Generally, it settles within a year's 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 the 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 pill support, you need to meet with your doctor for alternative methods of contraception after removing it.

I hope this helps.

Thanks.