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

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Patient's Query

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.

Answered by Dr. Vidya Ramasamy

Education:

MS

Professional Bio:

Dr. Vidya Ramasamy is an Obstetrician and Gynecologist specializing in infertility treatment. Her skills include managing complex infertility cases, performing assisted reproductive techniques such as IVF and IUI, evaluating hormonal and reproductive health, and providing preconception counseling. She is also experienced in managing high-risk pregnancies, gynecological surgeries, menstrual disorders, and hormonal therapies, offering personalized care to support women’s reproductive health and fertility goals.

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

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.

Medically reviewed by Dr. Sneha Kannan
Published At May 11, 2020
Reviewed At November 13, 2025

Education:

MS

Professional Bio:

Dr. Vidya Ramasamy is an Obstetrician and Gynecologist specializing in infertility treatment. Her skills include managing complex infertility cases, performing assisted reproductive techniques such as IVF and IUI, evaluating hormonal and reproductive health, and providing preconception counseling. She is also experienced in managing high-risk pregnancies, gynecological surgeries, menstrual disorders, and hormonal therapies, offering personalized care to support women’s reproductive health and fertility goals.

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

Education:

BDS

Professional Bio:

Dr. Sneha Kannan is a skilled Dental Surgeon with expertise in providing general dental care, including scaling, fillings, and preventive treatments. She does oral surgery procedures such as extractions and minor surgical interventions. She does procedures in restorative dentistry, including crowns, bridges, and dentures. She is an expert in doing endodontic treatments such as root canal therapy. She is well-versed in doing procedures in cosmetic dentistry, including teeth whitening and smile correction. She can provide pediatric dental care for children’s oral health and preventive treatments. She promotes oral hygiene awareness and preventive dental practices.  

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:

MS

Professional Bio:

Dr. Vidya Ramasamy is an Obstetrician and Gynecologist specializing in infertility treatment. Her skills include managing complex infertility cases, performing assisted reproductive techniques such as IVF and IUI, evaluating hormonal and reproductive health, and providing preconception counseling. She is also experienced in managing high-risk pregnancies, gynecological surgeries, menstrual disorders, and hormonal therapies, offering personalized care to support women’s reproductive health and fertility goals.

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

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