What Causes Delayed Menstruation After Removing Implanon?

Posted on Thu, 8 Dec 2016

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Thu, 8 Dec 2016 Answered on

Mon, 26 Dec 2016 Last reviewed on

Question : implanon implant put in on November 2014 and removed 10th october 2016 i had no period or spotting whilst on the implanon and it has now been almost 9 weeks since being removed.. and i have still not had a period. my doctor has put me on 1000mg of metformin to encourage ovulation/menstruation 5 weeks ago and still nothing. befor the implanon i was regular at 33 day cycles.
whats wrong with me =(

Answered by Dr. Aarti Abraham (1 hour later)

Brief Answer:
As below

Detailed Answer:
Hello
Thanks for trusting us with your health concern.
It could be hormonal imbalance.
PLease go for pelvic ultrasound scan and hormonal tests ( FSH, LH, TSH Prolactin ) to reveal the diagnosis.
All the best.
Please feel free to discuss further.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Aarti Abraham (2 hours later)

so it would be unlikely to have ovulated and concieved in this time. i was under the impression the dr gave me the metformin to help bring ovulation and mentruation along

Answered by Dr. Aarti Abraham (20 hours later)

Brief Answer:
As below

Detailed Answer:
IT is unlikely that you ovulated.
However, please take a pregnancy test.
Yes, the Metformin would help, but get the tests and scan done as suggested.
Take care.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Aarti Abraham (52 minutes later)

why is it unlikely to ovulate after having the implanon out?

Answered by Dr. Aarti Abraham (47 minutes later)

Brief Answer:
As below

Detailed Answer:
It takes 6 weeks - 12 weeks for the hormonal milieu to stabilize.
That is why.
take care.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Aarti Abraham (35 minutes later)

ok so its fine to not have a period for 3-4 months

Answered by Dr. Aarti Abraham (53 minutes later)

Brief Answer:
As below

Detailed Answer:
Yes, may take upto 3 months for you to resume normal cycles.
As long as the pregnancy test, ultrasound and hormonal tests are normal, do not worry.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar