Two Years Post-Nexplanon Removal: Ongoing Irregularities in Menstrual Cycle
As a 26-year-old female, weighing 125 pounds and standing at 5'3", I am reaching out to share my experience after having my nexplanon contraceptive device taken out two years ago. The primary reason for its removal was significant hair loss, which I experienced shortly after it was implanted. Although I have never been sexually active, healthcare professionals recommended the device as a precautionary measure due to my history with various birth control methods. In the past, oral contraceptives caused me intense migraines, and an IUD led to unexplained abdominal and vaginal discomfort. Since the removal, I've been noticing considerable irregularities with my menstrual cycle. My last normal period occurred in 2020, prior to the nexplanon insertion. Thankfully, I did not experience menstruation while the device was in place, but it took approximately six months post-removal for my periods to return, and they have yet to stabilize. I frequently skip months, and there are times when I experience two periods within the same month. Additionally, I've encountered unpredictable spotting patterns where my flow varies dramatically—sometimes it is quite heavy, while at other times it's exceptionally light. My experience with cramps is equally inconsistent; I might feel no discomfort at all or have prolonged periods of pain so severe that I need to adjust my work schedule. My physician advised that I should simply wait for my cycles to normalize, but given that it has now been over two years, I am beginning to wonder whether this is a typical outcome. The unpredictability of my periods leaves me uncertain about what to expect each month, and I find it difficult to articulate the issues since they seem so erratic. Fortunately, I have ruled out any chances of pregnancy and STDs. I am also aware that my mother faced considerable challenges with her menstrual health, ultimately requiring a hysterectomy at the young age of 35. Sadly, she passed away a few years ago due to alcoholism, so I lack clarity regarding her specific health issues as I was just a child at the time. My father is not well-informed on matters related to women's health. Both my OBGYN and primary care physician do not express significant concern, yet I can’t shake the feeling that my situation isn't quite right. So, is this level of irregularity common? Should I continue to be patient and just wait it out? What steps should I consider moving forward?
Answers (1)
3/23/2025, 2:40:51 AM
OpenHealth AI
Experiencing ongoing irregularities in your menstrual cycle after Nexplanon removal can be challenging and understandably frustrating. While it's not unusual for menstrual cycles to take time to normalize, particularly after hormonal contraceptive methods, two years is on the longer side for some women. Your concerns are valid, especially given your family history and the erratic nature of your symptoms.
Explanation: After discontinuing hormonal contraceptives like Nexplanon, the body can take time to readjust to its natural hormonal rhythms. Factors such as stress, diet, exercise, and underlying health conditions (like thyroid disorders) can greatly influence menstrual regularity. It's also important to consider the impact of irregular cycles on your quality of life, including issues like cramps and the unpredictability of your flow.
While your healthcare providers may not show significant concern, your symptoms warrant a careful evaluation to ensure there are no underlying issues contributing to this irregularity.
Next Steps:
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Track Your Cycle: Maintain a detailed menstrual diary for at least 2-3 months. Document the start and end dates of your periods, flow intensity, any spotting, and associated symptoms (like cramps). This can help identify patterns and will be useful for discussions with any healthcare professionals.
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Consider Hormonal Assessments: Speak with your physician about obtaining blood tests to evaluate hormonal levels (like estrogen, progesterone, and possibly thyroid hormones). If you haven't ruled out thyroid issues, this is particularly important due to symptoms of irregularity.
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Lifestyle Adjustments: Ensure you are managing stress through activities like physical exercise, meditation, or yoga. A balanced diet and regular physical activity can help support a regular menstrual cycle. Addressing any potential weight fluctuations can also be beneficial.
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Seek a Specialist’s Opinion: If your symptoms continue or worsen, consider consulting a specialist such as an endocrinologist or a reproductive health specialist. They can help further assess your situation and explore other treatment options or therapies.
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Be Proactive in Communication: When discussing your concerns with your healthcare provider, be open about your family history and how your symptoms affect you significantly. This may prompt a more thorough evaluation.
Your concerns about the irregularities you're facing are completely valid, and steps can be taken to address them. You don't have to simply “wait it out” if your symptoms are affecting your daily life, and it's okay to seek alternative opinions if you feel your current providers are not addressing your needs.
Feel free to reach out with any more questions or for further clarification on any steps.
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