What can cause spotting when I have Nexplanon implant?

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When should I be concerned about spotting in the middle of my period cycle?

Mid cycle spotting is not uncommon, and it occurs around the time of the ovulation, due to a temporary drop in the levels of hormones (which helps to build up the inner lining of the womb). If you have taken the birth control pill and it stops the mid cycle spotting, it indicates ovulation as the likely reason for the mid cycle bleeding. This is because the birth control pill works by inhibiting ovulation (hence preventing pregnancy). Usually mid cycle spotting due to ovulation lasts 1-2 days and clears quickly.

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How do doctors diagnose the cause of spotting after a period?

Consistent and regular mid-cycle bleeds may be as a result of Ovulation. Other irregular episodes of bleeding may be due to local cervical lesions like polyps or inflammation of the cervix of bacterial or viral origin. These need to be assessed by your Gynaecologist.

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Dr Paul Tseng

Gynaecologist

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