How to Stop period while on Nexplanon: “Is it weird to be constantly bleeding after I have received Nexplanon and my post-abortion checks?
For almost two months it’s like a light period.
I get no pain/cramps, blood flow never ends.”
Some of Nexplanon and other progestin-only methods are common side effects such as irregular bleeding and changing menstrual cycle duration or intensity.
Everyone has different side effects and the time it takes to get used to Nexplanon varies for your body.
While continuous bleeding can be very annoying and frustrating, in a few months’ time symptoms typically improve.
How to Stop period while on Nexplanon
There are some things that you can do if irregular bleeding interferes in your sex life or is extremely disturbing.
Treatment for NSAIDS (non-steroidal anti-inflammatory)
Once taken every 4-6 hours, over-the-counter pills such as ibuprofen may significantly lower your menstrual flow.
Pills with milk or food should be taken to minimize side effects such as nausea and stomach upset.
Adding a combined pill or patch – you might like to talk about a combined pill like Chatel or microgestin and to one of our doctors to prescribe.
A month’s addition of a monophasic combined pill can stop the bleeding and help regulate your next month period.
If you can do this every month without bleeding from your vagina, you should be aware that there are possible ways to stop your birth control period.
Lauren Streicher, M.D., Professor of Clinical Blood and Gynecology at Feinberg Federal University of Northwestern Medicine, tells SELF: “It’s no medical reason why you have to take a monthly period.
“For years and years you can without a problem suppress your period.”
Certainly, some people see a monthly reassurance that they’re not pregnant or that they can connect with the body.
But if you are not, and only want to stop, the good news is that birth control may help you.
What to Do If Menstrual Bleeding Persists 3+ Months After Insertion
Don’t be concerned.
This is a known and non-hazardous side effect for a small percentage of women.
The majority of patients will stop irregular menstrual bleeding without medical intervention in 6 to 12 months, so one option is to simply wait and see how your body adjusts.
Keep in mind that you may not be one of the lucky 5% of women who have no more periods while on Nexplanon.
Our goal is to eliminate daily spotting.
You may develop regular (or irregular) periods with light to normal flow and no significant cramping.
If your daily bleeding bothers you, there are two levels of intervention that are effective for the majority of women:
STEP 1: NSAID trial – this class of medications works by blocking the chemical that tells your uterine blood vessels to constrict.
o Because NSAIDs can cause stomach upset, it is critical that you take them with food.
Because NSAIDs are metabolized by the kidney, it is critical to stay hydrated while taking them.
o Option 1: Ibuprofen 400mg (2 over-the-counter pills) three times per day (breakfast, lunch, and dinner) for five to seven days (take until bleeding stops).
o Aleve (naproxen 250mg): take 1 pill twice daily (breakfast and dinner) for 5 to 7 days.
STEP 2: If bleeding persists despite NSAID trial or resumes immediately after stopping NSAID, estrogen can help stabilize your uterine lining and, in many cases, stop menstrual bleeding.
A combination estrogen/progesterone pill is usually easier to tolerate than estrogen alone.
Estrogen can cause nausea, hunger (watch what you eat to avoid gaining weight), breast tenderness/growth, mood changes, and, in rare cases, clots if you smoke or are immobilized.
For 10-21 days, take one pill once daily (in the morning or evening, and be consistent).
If the bleeding stops, it is safe to discontinue the pill.
Many women take one pill daily for 1-6 months if their bleeding takes longer to stop or if they want longer-term control of their bleeding.
Remember that these pill packets are designed for traditional birth control, with three weeks of medicine and one week of placebo pill (designed to induce period once monthly).
That is not why you are taking this medication, so skip the placebo week and begin the next pack for continuous cycling right away (Rx will give you 4 packets to last 3 months).
Your period when you’re not on birth control
Your uterus builds a lining of blood and nutrients during your menstrual cycle to feed a fetus if you get pregnant.
You expel your body in what is known as your period if you’re not pregnant during that cycle.
You may already know that, but it is quite fascinating the exact way this happens and lays the foundation for how to overcome the monthly temper of your uterus.
During your period, your hypophysis makes more FSH, which leads to the development of follicles (fluid filled pockets) in your ovaries.
Every follicle contains an egg.
As the period ends, one of these follicles grows, while the rest are absorbed in the ovaries.
This maturing follicle offers the hormone estrogen, which thickens your womb.
There’s an increase in luteinizing hormone (LH) at this point, which prepares the follicle to release the inside of the egg for possible fertilization.
It’s known as ovulation when this happens in the middle of your cycle.
The follicle then produces progesterone after ovulation to help thicker and stabilize your uterine filling.
The egg breaks up and your oestrogen and prosterone levels drop if you don’t become pregnant.
In consequence, you throw off your uterine lining, have a period and restart the cycle again.
Why Long Acting Birth Control Rocks
In summary, the use of long-acting methods of birth management still has many great benefits!
- The 99 percent IUDs from Nexplanon, Mirena, Skyla and Paragard are all the most effective, lasting methods for birth control on the market. Depending on your choice, you prevent pregnancy for 3 to 10 years.
- Everyone is at one appointment and is free to maintain it all the time. This means that there is no concern that a pill or prescription should be taken every day. All these methods are highly recommended for young women and adolescents because the risk of user error does not exist.
- They are reversible. They are reversible. You can remove your IUD and you can start trying to get pregnant immediately when you change your mind.
- You and your doctor must know about the IUD or implant, they are discreet enough.
Nexplanon’s normal (and temporary) adverse reacted by other progestin only processes such as Depo-Provera Injections, Skyla and Mireana IUDs, the ‘mimini-pilule’ micronor, is generally more consistent.
We therefore encourage all our patients to adapt their bodies to their new birth control method for about 3-6 months.
It is very worth waiting, since it lasts so long.
Is it possible to stop your period with birth control
Listen to us, as this is done in a number of different ways.
First, when it comes to skipping your period, you want to talk to your doctor about your general health and your options.
They could suggest a few things:
Some methods of birth control are more likely to give you no or barely any duration
The hormonal IUD
The hormonal IUD is a tiny device inserted into the womb.
Hormonal IUDs contain progestin that locally works by thickening cervical mucus and reducing the uterus lining.
(Occasionally hormonal IUDs are also suppressing ovulation, but this is not certain.)
This leads to such a small uterine filling for some people, that they go straight up to poos.
Since you can keep hormonal IUDs within 3 to 5 years (the precise number depends on the type), this can mean whole years you don’t receive a period of time.
The thing is: you are unlikely to get an IUD or implant period.
Taraneh Shirazian MD, an NYU Langone Health ob/gyn, says it depends entirely on the individual.
When you are not hormonally born, it is more likely that you will not bleed from a hormonal IUD if you tend to have lighter, shorter periods of time, she says.
“But it’s less reliable if you’ve got heavy periods,” she says.
Explain this to your doctor if you are interested in getting an IUD to stop your period.
You may advise a higher hormone level IUD.
Anyway, when you first get a hormonal IUD, you may experience a spotting.
This usually decreases after a few months, but in the meantime may be annoying.
The contraceptive implant
This birth control method is quite similar to an IUD, since it secretes progestin. This method is sold under the name Nexplanon.
However, there are some important differences.
Nexplanon is a matching rod which, according to the Mayo Clinic, is implanted in your upper arm.
The progestin in this contraceptive works, like hormonal IUDs, to thicken your cervical mucus, cut back on your uterine lining and perhaps eliminate ovulation.
Your period may decline or disappear as a result of the effect of the progestin on your uterine lining.
The Mayo Clinic gives you the ability to keep Nexplanon for up to 3 years, a solid time to not handle a period.
However, again, there is no guarantee that your period will cease entirely, so first talk with your doctor.
But you could have a breakthrough bleeding with Nexplanon just like many of the other items on this list.
Sadly, all with some advantages has its disadvantages, too.
The brand name for medroxyprogesterone acetate, a progesterone form, is also called the shot in Depo-Provera, the Mayo clinic says.
It is delivered every three months by injection (usually on your arm or butt).
Depo-Provera works to prevent ovulation and to thicken your mucus, so that sperms do not reach eggs.
According to the Mayo Clinic, this high dose of progestin involved can prevent uterine growth over a long time.
The result: Mary Jane Minkín, MD, clinical professor at Yale Medical School, says: “Many women do not have periods in Depo-Provera.” SELF says. Much women are not allowed to spend time at Depo- Provera.
However, everyone is different. It’s entirely possible to get your period on Depo-Provera. You might not, or you might get some breakthrough bleeding for months as a parting gift before your period goes away. It’s really all about how your body handles it.
Nexplanon and irregular bleeding – is it normal?
Yes, spotting between time periods, especially when you have just started with this new method in the last couple of months, may be normal when using a progestin alone method such as Nexplanon or IUD.
This irregular, or even daily, bleeding is not a danger and for most women, adapting their bodies to their new method of birth control only takes a few months, and they regularize their cycles again.
Some women do this while adjusting their bodies to new hormones in their bodies.
Bleeding between times, as your hormones in your body are fluctuating and inconsistent while your body adapts to your new technique, may take place as “breakthrough bleeding.”
It can also happen if your body finds it difficult to adapt to a progestin-only method, without the oestrogens that typically support your uterine fiber.
The hormones oestrogen and progesterone (in your birth control pills as well) help build and maintain your uterine body in your typical menstrual cycle, so that your body can be pregnant.
Hormone levels drop if a pregnancy does not occur, causing your uterus to shed its lining (your period.)
Based on the new birth control method your hormone levels fluctuate, your body gets confused and bleeding can happen both on and off.
We advise you to adjust your body to any new method of birth control 6 months or longer to allow you to benefit from all the great advantages it offers!
In that case, you will have with your Nexplanon the 3 years of worry-free birth control!
If you have irregular bleeding, jerky smelling, colored flush, or pain when urinating or sexually-related, this can result and it is necessary to see a doctor straight away. This will cause you to have an infection.
We suggest that you make a date to come to visit us right away if you are concerned with your irregular bleeding or uncertain if it is your birth control.
Other birth control methods to skip your period—get the go-ahead from your doctor
Combination hormonal birth control pills
Oestrogens and progestine (synthetic form of progesterone) are used to prevent pregnancy in combination of hormonal birth control pills.
The oestrogen stops ovulation and the progestin spreads your cervical mucous membrane (good luck in trying to get through) and dilutes your uteroid.
Jonathan Schaffir, M.D., an ob/gyn at the Wexner Medical Center Ohio State University, says, “Early fertilized egg can only implant in the uterine cavity if tissue is coarse and has a large blood content.”
“If you don’t try to get pregnant, you don’t need to make the flax thick and vascular.”
According to the Mayo Clinic, the most common types of combination pills come in monthly packs of 21 hormonal pills and seven placebo pills.
When you take the placebo pills, you usually get your “period.”
According to Dr. Minkin, this is a withdrawal bleed that occurs when you stop taking the hormonal pills.
This withdrawal bleed essentially mimics what happens in your body when you don’t get pregnant during any given cycle, according to Dr. Minkin.
If you don’t want to have your period, Dr. Streicher says you may be able to take the hormonal pills continuously without the placebo days, though this will depend on the type of pill you’re taking.
While most doctors agree that this is acceptable, it is important to note that it differs from the prescribing information.
So, if you’re interested in doing this with the pills you take, you should talk to your doctor first to make sure there’s no reason they think you shouldn’t.
For example, progestin-only birth control pills cannot be used to manipulate your period because there is no placebo week; taking them at the same time every day is critical to not becoming pregnant.
If you consistently skip your placebo week, talk to your doctor about an extended cycle birth control pill, such as Seasonique or Seasonale, which are both designed to only give you a period every three months.
Whether you skip placebo pills with a 28-day pack or take extended cycle birth control pills, Dr. Shirazian warns SELF that breakthrough bleeding (bleeding outside of your period) can occur when you first begin trying to skip your period.
“It isn’t an exact science,” she admits.
“Some women will continue to spot.”
However, she believes it will level off over time.
The vaginal ring
According to the Mayo Clinic, a vaginal ring, also known as a Nuva Ring, is a round piece of flexible plastic that you insert into your vagina.
It functions similarly to combination hormonal birth control pills, with the exception of the daily pill-taking requirement:
It suppresses ovulation, thickens cervical mucus, and thins the uterine lining by using progestin and estrogen.
TNuva Ring is intended to be inserted and left in your vagina for three weeks, followed by a week of removal.
You’ll usually have your period at that point.
If you want to avoid the bloody ordeal, Dr. Minkin says you can theoretically remove the old ring at the end of the third week and replace it right away, rather than going ring-free for seven days.
Again, because this is a deviation from the prescribing information, you should consult with your doctor before proceeding.
You should ensure that they are on board with the plan.
Attempting to stop your period with Nuva Ring, as with birth control pills, may result in breakthrough bleeding.
The birth control patch (sold under the brand name Xulane), like the ring and pill, delivers progestin and estrogen to your body to help prevent pregnancy.
According to the Mayo Clinic, it is a small, sticky square that you wear on your buttock, upper outer arm, stomach, or back to allow the hormones to be absorbed through your skin.
To use this birth control method correctly, apply a patch and wear it for 21 days before discarding it and going patch-free for seven days (when your period arrives).
If you decide to skip your period, you would remove the old patch and immediately put on a new one, according to Dr. Shirazian.
But you should consult your doctor first, and there’s a chance you’ll experience breakthrough bleeding that makes you wish it was at least on a schedule.
(Can you see where we’re going with this?)
The bleeding pattern shifts.
Women should be counseled about the changes in their bleeding patterns that may occur while taking NEXPLANON so that they know what to expect.
Bleeding and spotting incidents
Based on clinical trial results for the non-radiopaque etonogestrel implant (IMPLANON®):
- Women taking NEXPLANON are more likely to experience changes in their vaginal bleeding patterns.
Changes in bleeding frequency, intensity, duration, or amenorrhea are examples of these.
- For many women, the bleeding pattern experienced during the first three months of using NEXPLANON is broadly predictive of the future bleeding pattern.
Prevalence of bleeding and spotting
Based on clinical trial results for the non-radiopaque etonogestrel implant (IMPLANON®):
- Women in clinical trials experienced 17.7 days of bleeding or spotting every 90 days (N=780).
- 11.1 percent of women (N=942) discontinued due to changes in their bleeding pattern.
- Abnormal bleeding should be evaluated on an as-needed basis to rule out pathologic conditions or pregnancy.
- Percentages of patients who experienced spotting or bleeding for 0–1, 1–7, 8–21, or >21 days in a 90-day period while using the non-radiopaque etonogestrel implant (IMPLANON®).
Women are advised to use NEXPLANON to avoid pregnancy.
Safety Information Selected
NEXPLANON should not be used in women who have a known or suspected pregnancy, a current or previous history of thrombosis or thromboembolic disorders, benign or malignant liver tumors, or active liver disease, undiagnosed abnormal genital bleeding, known or suspected breast cancer, a personal history of breast cancer, or other progestin-sensitive cancer, now or in the past, and/or an allergic reaction to any other medication.
WARNINGS AND PRECAUTIONS
Complications of Insertion and Removal
NEXPLANON should be inserted subdermally so that it is palpable immediately after insertion, and this should be confirmed by palpation.
Failure to properly insert NEXPLANON may go unnoticed unless palpated immediately after insertion.
Failure to insert the implant may result in an unintended pregnancy if not detected.
Failure to remove the implant may result in etonogestrel side effects such as compromised fertility, ectopic pregnancy, or the persistence or occurrence of a drug-related adverse event.
Pain, paresthesias, bleeding, hematoma, scarring, or infection may occur as a result of insertion and removal procedures.
Neural or vascular injury may occur if NEXPLANON is inserted deeply (intramuscular or in the fascia).
If the implant is not inserted correctly, is inserted too deeply, is not palpable, is encased in fibrous tissue, or has migrated, removal may be difficult or impossible.
If the implant cannot be palpated at any point, it should be localized and removed.
There have been postmarketing reports of implants located within the vessels of the arm and the pulmonary artery, which may be related to deep insertions or intravascular insertions. Endovascular or surgical procedures may be needed for removal.
Changes in Menstrual Bleeding Patterns
Women’s menstrual bleeding patterns are likely to change after starting NEXPLANON.
Changes in frequency, intensity, or duration are examples of these.
Abnormal bleeding should be evaluated on a case-by-case basis to rule out pathologic conditions or pregnancy.
The most common reason for discontinuing treatment in clinical studies of the non-radiopaque etonogestrel implant was reports of changes in bleeding pattern (11.1 percent ).
Women should be counseled about any changes in their bleeding patterns that they may be experiencing.
Women using NEXPLANON who become pregnant or complain of lower abdominal pain should be monitored for the possibility of an ectopic pregnancy.
Thrombotic and Other Vascular Events
The use of combined hormonal contraceptives raises the risk of vascular events, such as arterial events (strokes and myocardial infarctions) and deep venous thrombotic events (venous thromboembolism, deep venous thrombosis, retinal vein thrombosis, and pulmonary embolism).
Women with risk factors known to increase the risk of venous and arterial thromboembolism should be carefully evaluated.
There have been postmarketing reports of serious arterial thrombotic and venous thromboembolic events in women using etonogestrel implants, including cases of pulmonary emboli (some fatal), deep vein thrombosis, myocardial infarction, and strokes.
In the event of a thrombosis, NEXPLANON should be removed.
NEXPLANON should not be used prior to 21 days postpartum due to the risk of thromboembolism associated with pregnancy and immediately following delivery.
Women who have had thromboembolic disorders in the past should be made aware of the possibility of a recurrence.
Consider removing the NEXPLANON implant if you are immobilized for an extended period of time due to surgery or illness.
When follicular development occurs, atresia of the follicle is sometimes delayed, and the follicle may grow larger than it would in a normal cycle.
These enlarged follicles usually disappear on their own.
Surgery may be required in rare cases.
Carcinoma of the Breast and Reproductive Organs
Some studies suggest that using combination hormonal contraceptives may increase the risk of breast cancer as well as cervical cancer or intraepithelial neoplasia.
Women who have a family history of breast cancer or who develop breast nodules should be monitored closely.
If jaundice develops, NEXPLANON should be removed.
Elevated Blood Pressure
If blood pressure rises significantly and becomes uncontrollable, the NEXPLANON implant should be removed.
According to research, users of combination hormonal contraceptives have a slightly increased relative risk of developing gallbladder disease.
It is unknown if a similar risk exists with progestin-only methods such as NEXPLANON.
- Now Implant 99% effective Costs up to $1,300, but can be $0 Put in by a doctor or nurse Lasts up to 5 years (plannedparenthood.org)
- I experienced some irregular bleeding for the first three-ish months, but it seemed to sort itself out and went from a light monthly period to 100% period free for two years. (helloclue.com)
- Based on data from clinical trials of the non-radiopaque etonogestrel implant (IMPLANON®): Women had an average of 17.7 days of bleeding or spotting every 90 days (N=780) 11.1% of women discontinued due to changes in bleeding pattern
- Total days of spotting or bleeding Percentage of women Treatment days 91–190
- (N=547) 0 days 19% 24% 17%
- 1–7 days 15% 13% 12% 8–21 days 30% 30% 37%
- In clinical studies of the non-radiopaque etonogestrel implant, reports of changes in bleeding pattern were the most common reason for stopping treatment (11.1%).
- The most common adverse reaction causing discontinuation of use of the implant in clinical trials was change in menstrual bleeding patterns, specifically irregular menses (11.1%).
- The most common adverse reactions (≥10%) reported in clinical trials were headache (24.9%), vaginitis (14.5%), weight increase (13.7%), acne (13.5%), breast pain (12.8%), abdominal pain (10.9%), and pharyngitis (10.5%).
- The efficacy of NEXPLANON in women who weighed more than 130% of their ideal body weight has not been defined because such women were not studied in clinical trials. (merckconnect.com)