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

Answered by
Dr. Vidyaprem
and medically reviewed by Dr. Sneha Kannan
This is a premium question & answer published on May 11, 2020
I’ve been on nexplanon for a year after my first baby. Every since the implant I have 2 periods every month. Before I started birth control I was regular. I knew exactly 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’ve been taking the pills for a week straight and my period has been on for 8 days which isn’t normal. My period is heavy, light, it’ll stop, then start again. I don’t know what I should do. I just want my period to go back to normal

Dr. Vidyaprem

Obstetrics And Gynaecology

dear welcome to iclinq. com

Implanon is associated with altered bleeding patterns. generally it settels by a year time... 15 to 17 percent may continue to have very heavy n long cycle after implanon( this is becos of the progestronic effect on endometrium) ... do take hematinics as heavy bleeding may result in anemia.. 1) continue the pills as advised by your gynec for a month and see for changes in pattern 2) If it does not reduce even after pills support you need to meet your gynec for alternative methods of contraception after removing it.. Regards

The Probable causes:

due to the hormonal( progestronic) effect of nexplanon on the endometrium

Treatment plan:

1) reassurance,2) hematinics, 3) To continue pills plus nexplanon ,x 1 month... 4).. Think about removal if it's too cumbersome..

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