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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Will Nexplanon Cause Spotting In Different Colors?

so i just started the nexplanon april 16 of this year and ever since than i have been spotting with different colors ranging from red orange yellow and brown...and to top it off it smells horrible! no matter what i do im a 20 yr old female im 114lbs i have a 2 year old and ive been with same man for 5 years...i havent called dr yet should i? its horrible smell and it started a day or two after nexplanon i never smelt like this before...i use a ph balance to cleanse down there im freaked out even after my showers i smell:( do you know if this is a cause from birth control and how long it should last?
Mon, 8 May 2017
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General & Family Physician 's  Response
Hi,
Thanks for the query. I understand your concern.
Nexplanon is known to cause intermittent spotting specially in early months of implant insertion.
The colors of the spotting you describe represent fresh bleeding being bright red & orange, brown & yellow colors Amount & duration from bleeding.
* Spotting itself creates situation favorable for bacteria to grow, The foul smell indicates infection.. which is due to collection of blood in vagina & supplemented by carelessness about genital hygiene.
* you need frequent cleaning & use of vaginal pessary like Betadin pessary...specially when there is spotting & vaginal discharge.
* If there is no relief.. consult a gynecologist for internal examination & vaginal swab test followed by cause specific treatment, Your partner may also be advised treatment if needed.
Thanks,
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Will Nexplanon Cause Spotting In Different Colors?

Hi, Thanks for the query. I understand your concern. Nexplanon is known to cause intermittent spotting specially in early months of implant insertion. The colors of the spotting you describe represent fresh bleeding being bright red & orange, brown & yellow colors Amount & duration from bleeding. * Spotting itself creates situation favorable for bacteria to grow, The foul smell indicates infection.. which is due to collection of blood in vagina & supplemented by carelessness about genital hygiene. * you need frequent cleaning & use of vaginal pessary like Betadin pessary...specially when there is spotting & vaginal discharge. * If there is no relief.. consult a gynecologist for internal examination & vaginal swab test followed by cause specific treatment, Your partner may also be advised treatment if needed. Thanks,