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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Nexplanon Implant Inserted. No Period Initially. Then Heavy Period, Mood Swings, Headaches. Suggestions?

hi, im 22 years old. i had the nexplanon implant inserted in january 2012 and i have had no period since then? until 3 weeks ago....i have been on for 3 weeks non stop, it turns from brown to bright red constantly along with mood swings, headaches etc....i sont understand? everybody says if it was not going to work it would of done it already but i just cant understand why i am on now? and why so long :(...i was hoping its my bodys way of just catching up and getting rid of some excess blood but i dont no....please help
Wed, 19 Jun 2013
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OBGYN,  's  Response
Hi dear user, thanks for your query.

Irregular bleeding is a major side effect of progesterone implants. It may be a breakthrough bleeding.All your symptoms are because of side effects of progesterone. In my opinion,you should go for an ultrasound first of all to rule out any pathology and you can try tablets of tranexemic acid 500mg thrice daily for 3 days to stop bleeding. If it doesn't help, then tablets of conjugated oestrogen 1.25 mg can be taken once daily for 21 days





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Nexplanon Implant Inserted. No Period Initially. Then Heavy Period, Mood Swings, Headaches. Suggestions?

Hi dear user, thanks for your query. Irregular bleeding is a major side effect of progesterone implants. It may be a breakthrough bleeding.All your symptoms are because of side effects of progesterone. In my opinion,you should go for an ultrasound first of all to rule out any pathology and you can try tablets of tranexemic acid 500mg thrice daily for 3 days to stop bleeding. If it doesn t help, then tablets of conjugated oestrogen 1.25 mg can be taken once daily for 21 days Hope this helps.