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What Causes Spotting After Removing Implanon?

Posted on Fri, 27 Mar 2015

Question: Hey I just had the implanon removed mar 2 yesterday mar 5 while at work I started feeling crampy and hot went to the restroom and I was just spotting. Mar 3&4 we were ttc so my question is is this implantation bleeding or AF? I know its way too soon to take pt but it went from light spots to not so light spots.

Answered by Dr. Dr. Prasad J (1 hour later)

Brief Answer:
More likely withdrawal bleed...

Detailed Answer:
Well, in my opinion it was spotting secondary to implanon withdrawal. I am more than convinced it isn't implantation bleed due to the following two reasons:
1. Implantation occurs atleast a week following unprotected sexual intercourse. And 2 days is too early to see implantation.
2. Ovulation is an absolute prerequisite for pregnancy and implantation. And ovulation takes place atleast (minimum of) 10 days after contraceptive withdrawal. Moreover in some women ovulation only happens a cycle or two after implanon withdrawal.

Therefore in all likely possibilities, this was withdrawal bleed secondary to hormone changes.

Hope I am clear. Feel free to ask for clarifications.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Prasad J (34 minutes later)

ok. well do you know whats the cause of severe cramps? I started having cycles and cramps really bad the last few months on the implanon but never like that before implanon or during most of the time while I was on it and im experiencing them really bad now as i speak. ,could you tell me whats the cause ?

Answered by Dr. Dr. Prasad J (5 hours later)

Brief Answer:
Pre and menstrual cramps...

Detailed Answer:
At the moment the only cause I can name is premenstrual and menstrual cramps. One may develop cramps and irregular flow due to hormonal disturbance which is quite common close to implanon expiry and removal. So based on your description, this possibly looks likely too.

Other local cervical and uterine causes that mimic your symptoms can be ruled out by physical checkup, per vaginal/perspeculam examination and ultrasound test. I suggest you get these done if subsequent cycles remain cramps and irregular.

Hope this answers your question.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Prasad J (1 hour later)

ok. so how can I get rid of my cramps its been bad all day and I've been at work my body tired but the cramps are so bad that I cant lay down that's when there worse. I've been taking midol Tylenol and Advil all day and these cramps are still here now this has to be the worst cramps I've ever felt, I mean not one pill stopped my cramps that is not normal for me, usually all I would have to take is 2 midols and im good. imma call my doctor monday but I need some answers before then....

Answered by Dr. Dr. Prasad J (2 hours later)

Brief Answer:
Antispasmodic are better choice...

Detailed Answer:
I understand your concern. Sometimes menstrual cramps are extremely painful. But the cramps characteristically reduce in a few days as period reduces. In the meanwhile I add antispasmodic drug like dicyclomine (bentyl) to treat cramps. The antispasmodic with pain drug combination works well in such cases. I'm not sure you will get antispasmodic over the counter. Check with your local GP or at urgent care clinic for a prescription.

There are home measures which may provide some relief. You can try hot water bag and see if it helps.

Hope this helps.

Regards

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar