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What causes irregular periods after getting the Implanon implant?

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

Patient's Query

Hello doctor,

I had Implanon put in my arm, and my period has become utterly irregular. I have been spotting for more than 20 days and do not know how to make it stop. Please help.

Thank you.

Answered by Dr. Nagma Khatoon

Education:

MBBS

Professional Bio:

Dr. Nagma Khatoon is a skilled Obstetrics and Gynecology specialist dedicated to women’s health and wellness. She has expertise in antenatal care, high-risk pregnancy management, normal and assisted deliveries, gynecological disorders, menstrual issues, and family planning. With a compassionate and patient-focused approach, Dr. Khatoon ensures personalized care, accurate diagnosis, and comprehensive treatment for women at every stage of life.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

I read your query and can understand your concern.

Irregular and prolonged bleeding is a common side effect of Implanon (Etonogestrel implant), particularly during the first few months after insertion. If the spotting persists or becomes bothersome, several management options are available. Short-term use of nonsteroidal anti-inflammatory drugs (NSAIDs), such as Mefenamic acid, can help reduce bleeding.

Alternatively, hormonal interventions, including a short course of estrogen therapy (such as combined oral contraceptive pills containing ethinyl estradiol and progestin), may help regulate the bleeding pattern. It is advisable to consult a healthcare provider to determine the most appropriate treatment based on individual health status and medical history.

I hope this helps.

Kindly revert so I can assist you further.

Thank you.

Medically reviewed by iCliniq medical review team
Published At May 17, 2025
Reviewed At May 26, 2025

Education:

MBBS

Professional Bio:

Dr. Nagma Khatoon is a skilled Obstetrics and Gynecology specialist dedicated to women’s health and wellness. She has expertise in antenatal care, high-risk pregnancy management, normal and assisted deliveries, gynecological disorders, menstrual issues, and family planning. With a compassionate and patient-focused approach, Dr. Khatoon ensures personalized care, accurate diagnosis, and comprehensive treatment for women at every stage of life.

This doctor is not available for online consultations on the platform anymore.

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

Education:

MBBS

Professional Bio:

Dr. Nagma Khatoon is a skilled Obstetrics and Gynecology specialist dedicated to women’s health and wellness. She has expertise in antenatal care, high-risk pregnancy management, normal and assisted deliveries, gynecological disorders, menstrual issues, and family planning. With a compassionate and patient-focused approach, Dr. Khatoon ensures personalized care, accurate diagnosis, and comprehensive treatment for women at every stage of life.

This doctor is not available for online consultations on the platform anymore.

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