Managing Bleeding During Nexplanon Use

Long acting contraceptive (LARC) methods are staying in the news, and both the best and now, the  newest, contraception available for women. The CDC states that Nexplanon contraceptive is the best contraceptive with the fewest failures. The Nexplanon rod is a progesterone only method with a failure rate of 0.05%. It is used for three years and has etonogestrel as the hormone in the implanted rod. However, one in 10 users of Nexplanon will have bothersome irregular bleeding. In a new study by Colorado researchers they have discovered that giving 2 weeks of oral contraceptives can help stop the irregular bleeding, but it usually recurs after the medication is stopped. Other medications that show some positive effects on bleeding include mifepristone, estradiol, either given with or without also giving doxycycline. There are other side effects that may require management and see your gyno, however there is a site women may find helpful. We suggest seeing your gyno for a reproductive life plan, and deciding what method is best for you to use depending upon your current plans for pregnancy and birth spacing


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