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Menses confusion

I have hypothyroidism and I am on nexplanon. I have been spotting off and on for a week. It is so little that I barely speck a panty liner all day. What is going on?
Poster
  • Complaint duration: 7 days
  • Medications: sinthroid lithium and lamictal
  • Conditions: Hypothyroidism and bipolar disorder
July 27, 09:15 AM

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It's most likely from the Nexplanon, especially if it started only after placing it. I agree with Dr. Baker however that your thyroid levels should be regularly checked.
Peter Guirguis
Peter Guirguis, MD, FACOG
OB/GYN in Staten Island, NY
Level: Contributor (16)
July 29, 12:56 AM
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Your thyroid level should be checked on a regular basis, so if it hasn't been looked at recently you should check it. Irregular bleeding is the most common side effect of Nexplanon, and since it is highly effective at preventing pregnancy, you shouldn't be worried.
Kyle A Baker
Kyle A Baker, MD
OB/GYN in New Britain, CT
Level: Key Opinion Leader (127)
Website: http://newbritainobgyn.org
July 28, 10:20 PM
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More important is the thyroid. TSH should be maintained at about 1.0(o.8 to 1.2) for maximum benefit.
Victor Shabanah
Victor Shabanah, MD
Woman's Wellness Physician in Coral Gables, FL
Level: Key Opinion Leader (172)
July 27, 07:11 PM
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It is normal to have irregular spotting or bleeding with the Nexplanon. It may change or improve the longer you are using it although it may not.
Nancy E. Bass
Nancy E. Bass, MD
Obstetrics & Gynecology in The Woodlands, TX
Level: Top Contributor (32)
Website: Nancy E. Bass, MD
July 27, 06:45 PM
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This can happen, but

if it continues and is

persistent it would be

best to get checked.
Joseph Hazan
Joseph Hazan, MD
OB GYN in St. Peters, MO
Level: Key Opinion Leader (298)
Website: Advanced Ob/Gyn Services
July 27, 04:28 PM
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