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Molly Maloof, MD

Director of Clinical Content
@DoctorBase

Implanon due date

Hello great contributing doctors! I am 24 and a nurse myself. My GYN is on vaca and no one will return my call. I have a question on a topic I can't seem to find much research on. After the birth of my son, I chose implanon as my contraceptive method. It is scheduled to be removed 9-5-14. I have never experienced any breakthrough bleeding in the past 3 years. For the past 2 weeks, I have bled heavily with only a two day break. Does it lose effectiveness before removal date?
Poster
  • 26 years old
  • Ethnicity: Caucasian / White
  • Medications: OxyContin 20mg, Norco 10mg, Valium 10mg, topamax 20mg
  • Conditions: Medullary Sponge Kidney, IC

Find low drug prices at local & online pharmacies

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Probably not but like any medication it tapers at the beginning and end. I would make sure to have it removed by the expiration date just to be safe
It's contraceptive effectiveness is reliable but it has no reliability for bleeding control. I would add oral norethindrone until the Implanon changeout.
Upon insertion, your progesterone level will rise rapidly for the first 3 months and then gradually decrease over the next 3 year. The medication is still being released, but in your case, might have hit a threshold that is insufficient to suppress growth of the endometrial lining. The good news is that you did so well with the Implanon, you could just have it exchanged as soon as your GYN shows up again.
Carlos I. Gabriel
I'm not sure, but it does sound suspicious. I would call the company hotline and speak to one of their scientific staff. I would you condoms until you get answers, or get it replaced.