Managing implant users’ bleeding and spotting


Nearly 60% of women who discontinue using contraceptive implants do so because of bleeding irregularities. Counseling ahead of time can help some women better accept the bleeding and spotting, even though it does not stop their episodes. A few treatment options are recommended, such as regimens for taking combined oral contraceptives, anti-progestins, and NSAIDS. But how well do these work?

Anita Nelson, MD, professor emeritus of obstetrics and gynecology at the David Geffen School of Medicine at the University of California-Los Angeles and clinical professor at the University of Southern California, covered several regimens for managing bleeding at the recent Contraceptive Technology conference held in Atlanta. Dr. Nelson’s slides and reference sources follow, and can be downloaded here: Managing bleeding with implant.


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