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Ask Dr. Arun Phophalia Your Own Question
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 31330
Experience:  MBBS, MS (General Surgery), Fellowship in Sports Medicine
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spotting for a month

Resolved Question:

I have been spotting for a month. I am on Implanon and this is the first time that I have spotted for such a long period of time. Should I be worried??
Submitted: 4 years ago.
Category: Health
Expert:  Dr. Arun Phophalia replied 4 years ago.

This is a known side effect of Implanon, thus not worrisome. It should resolve by it's own. Body hormones may take some time to adjust. Please see the side effect section of resource;

If this persists for further 1-2 weeks, other causes like infection may need to be ruled out by a physical examination by your doctor.

Please feel free for your follow up questions.


I would be happy to assist you further, if you need any more information.


Dr. Arun
Customer: replied 4 years ago.
I understand that in the begining my hormones needed to ajust, but I have been on Implanon for almost two years. I feel like my body should be ajusted by now. Plus having just a tiny bit of blood come out almost everyday for a month just does not seem right to me.
Expert:  Dr. Arun Phophalia replied 4 years ago.

Implanon can have occasionally intermittent bleeding. So while your spotting can be due to hormonal aberration caused by it, no harm in getting an evaluation for following;

1) Cervicitis or other infections
2) Cervix polyp
3) Uterus polyp
4) Uterus fibroid
5) Thyroid abnormality

A physical exam, ultrasound and blood work are done for the assessment.

It is privilege assisting you.

Dr. Arun
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