Hello dear Understand your concern. Following are side effects of implant: Irregular bleeding and spotting may occur/delayed period: due to hormonal imbalnce Migration Possible weight gain Ovarian cysts Pregnancy Acne Abdominal cramp Pelvic inflammatory disease:candidiasis, trichomoniasis. So I think it may be side effcets. But if not improve Again do pregnancy test/blood HCG/Usg after consult with gynecologist. Test for hormone profile: Estrogen, progesterone, LH, FSH, Thyroid hormone, prolactin Endometrium biopsy, ovarian follicle study. Take following advice: 1.Limit caffeine, salt and nicotine 2. Healthy lifestyle 3 Stretching and regular exercise routines will reduce cramping and menstrual pain. 4. Yoga can be extremely helpful to reduce both the physical and mental symptoms 5. Massage can also help both physical and emotional symptoms. also relieve depression, anxiety and panic attacks. 6. Hot baths help with cramping, back pain and relaxation. 7. Sleep of at least 8 hours 8. Tablet meftal spas 2-3 times a day for pain Maintain hygiene like below: 1. Salt Bath- Wash your vagina with concentrated salt water whenever you feel the itch. This will give you great relief instantly and prevent further multiplication of bacteria. 2. Keeping The Vagina Dry (Not wet, clean well) 3. Wear pure cotton Loose underwear Best regards Dr. Sagar