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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Intake Of Contraceptive Pills While Being On Nexplanon Implant Safe?

Hello, About 3years ago I got Mirena inserted and all was fine and working properly for about 2 years. My body then expelled it. We replaced it with another one and it was expelled once again (along with 3 months of continuous bleeding and severe cramps). Looking for a long term birth control I decided to get Nexplanon because of the issues with Mirena. I continued to have continuous bleeding for 3-4 months and it was beginning to affect my everyday life. I was tired, moody and constantly in pain. I asked to have it removed and they put me on birth control pills for 3 months in addition to the nexplanon to regulate my cycle. By the end of the three months it was back to normal. I have now been off the pill for 3-4 months and I ve currently been bleeding for 4 1/2 weeks. I have two questions: Based on my history is it best to get the nexplanon removed? I feel as though my body is rejecting it. Would it be safe to take the pill every day for a log period of time in addition to the nexplanon? I am worried that it may have too many hormones when taken together that may cause long term issues.
Thu, 1 Mar 2018
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OBGYN 's  Response
Hello,

First of all, it is not unsafe to have the Nexplanon in place and to use birth control pills to control breakthrough bleeding. But, given the pain, bleeding, and expulsion of the IUDs as well as the continued problems with bleeding, it would not surprise me if you have something going on in the uterus such as fibroids or polyps. These would be easy to assess with an ultrasound. You should schedule a visit with an OB/GYN and ask for a more thorough workup.
 

Hope I have answered your query. Let me know if I can assist you further.

Regards,
 Dr. Timothy Raichle
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Is Intake Of Contraceptive Pills While Being On Nexplanon Implant Safe?

Hello, First of all, it is not unsafe to have the Nexplanon in place and to use birth control pills to control breakthrough bleeding. But, given the pain, bleeding, and expulsion of the IUDs as well as the continued problems with bleeding, it would not surprise me if you have something going on in the uterus such as fibroids or polyps. These would be easy to assess with an ultrasound. You should schedule a visit with an OB/GYN and ask for a more thorough workup.   Hope I have answered your query. Let me know if I can assist you further. Regards,  Dr. Timothy Raichle