HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

What Causes Prolonged Spotting After Intercourse While On Implanon?

default
Posted on Fri, 19 Jun 2015
Question: Hello,

I recently got an Implanon inserted into my arm about 2 months ago, and I got my period with no spotting in between during the first month. After engaging in sexual relations, I began spotting, and its been on going for the entire month. The spotting is brown. Last night I had sex again, and I bled a little immediately after. Is this normal? I'm beginning to worry. I haven't had a spotting problem before, nor have I ever bled after sex.
doctor
Answered by Dr. Ramadevi Wani (1 hour later)
Brief Answer:
Internal examination and Pap test are necessary.

Detailed Answer:
Hi,
Welcome to Healthcare Magic.
I am Dr Ramadevi Wani. I will be answering your concerns today.
Spotting inbetween period is a common side effect of Implanon.
But the spotting in your case is related to sexual relations. This is of concern. We should not presume it to be due to Implanon until we exclude other possible causes for such spotting.
Other possible causes for such spotting are cervical erosion (Where neck of cervix is covered by different epithelium-columnar epithelium), cervical polyp and precancerous lesions of cervix (neck of the womb). Even infection of the vagina and cervix can cause such spotting. But since you have not mentioned about dischage/ pain/itching it is unlikely to be due to infection in your case.
Have you been regular with your pap smears. When was the last Pap test done? Please fix up an appointment with your gynecologist for internal examination and Pap test ( if you have not done it before). This will help us find whether the spotting is due to Implanon or due to some other reason.

I hope this helps. If you have other concerns, i will be happy to answer.
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Ramadevi Wani

OBGYN

Practicing since :1985

Answered : 1459 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
What Causes Prolonged Spotting After Intercourse While On Implanon?

Brief Answer: Internal examination and Pap test are necessary. Detailed Answer: Hi, Welcome to Healthcare Magic. I am Dr Ramadevi Wani. I will be answering your concerns today. Spotting inbetween period is a common side effect of Implanon. But the spotting in your case is related to sexual relations. This is of concern. We should not presume it to be due to Implanon until we exclude other possible causes for such spotting. Other possible causes for such spotting are cervical erosion (Where neck of cervix is covered by different epithelium-columnar epithelium), cervical polyp and precancerous lesions of cervix (neck of the womb). Even infection of the vagina and cervix can cause such spotting. But since you have not mentioned about dischage/ pain/itching it is unlikely to be due to infection in your case. Have you been regular with your pap smears. When was the last Pap test done? Please fix up an appointment with your gynecologist for internal examination and Pap test ( if you have not done it before). This will help us find whether the spotting is due to Implanon or due to some other reason. I hope this helps. If you have other concerns, i will be happy to answer.