Brown spotting is a common side effect of Nexplanon, a long-acting reversible contraceptive implant that is highly effective in preventing pregnancy.
While this form of birth control has many advantages, such as convenience and low maintenance, the presence of brown spotting can be bothersome for some individuals.
If you are experiencing brown spotting while using Nexplanon, don’t worry – there are ways to manage and possibly eliminate it.
In this guide, we will discuss the causes of brown spotting on Nexplanon and provide practical tips for managing it.
Understanding Brown Spotting

Brown spotting on Nexplanon is a type of abnormal vaginal bleeding, also known as breakthrough bleeding.
It refers to any unexpected bleeding that occurs when you are not expecting your period, such as in the middle of your menstrual cycle or during pregnancy.
This type of spotting is usually light and dark brown in color, hence the name “brown spotting.“
It can also be accompanied by cramping or abdominal discomfort.
Many individuals experience brown spotting in the first few months of using Nexplanon, but it typically resolves on its own over time.
Brown Spotting vs. Other Forms of Bleeding
It is important to distinguish brown spotting from other forms of bleeding, such as a regular period or implantation bleeding.
A regular period usually involves heavier bleeding with bright red blood, while implantation bleeding occurs when a fertilized egg implants itself in the uterus and can be identified by light pink or red spotting.
Brown spotting, on the other hand, is typically lighter and darker in color and can occur at any time during your menstrual cycle, not just during ovulation or pregnancy.
Causes of Brown Spotting on Nexplanon
There are several possible causes for brown spotting while using Nexplanon.
One of the main reasons is the hormonal changes that occur when you first start using this contraceptive method.
The hormones in Nexplanon can affect the lining of your uterus and cause it to shed, resulting in brown spotting.
Other factors that may contribute to brown spotting include:
- Irregular hormone levels
- Stress or anxiety
- Changes in weight or diet
- Medications or supplements
If you are experiencing brown spotting on Nexplanon, it is important to consult with your healthcare provider to rule out any underlying issues.
Tips to Minimize Brown Spotting on Nexplanon

While brown spotting is a common side effect of Nexplanon, it can still be disruptive and inconvenient.
Here are a few tips to help minimize and possibly eliminate brown spotting while using this contraceptive implant:
1. Consistency with the Implant Schedule
To ensure the maximum effectiveness of Nexplanon, it is important to follow the recommended schedule for replacing the implant every three years.
If you miss or delay getting your implant replaced, it can lead to hormone fluctuations and potentially result in brown spotting.
Make sure to keep track of when your implant needs to be replaced and schedule an appointment with your healthcare provider in advance.
2. Keep Stress Levels in Check
Elevated stress and anxiety levels can disrupt your hormonal balance, impacting your menstrual cycle and potentially causing brown spotting.
Cortisol, a stress-related hormone, can hinder the regulation of your menstrual cycle by other hormones. Managing stress effectively is crucial.
Practices like mindfulness meditation, yoga, exercise, and sufficient sleep can all aid in reducing stress. By managing stress levels, you may experience fewer hormonal imbalances and less brown spotting.
Engaging in stress-relieving activities not only enhances your well-being but also supports a regular menstrual cycle.
3. Track Your Period and Bleeding Patterns
Keeping track of your menstrual cycle and bleeding patterns can provide insight into any changes or irregularities.
Consider using a period tracking app or keeping a journal to keep track of your periods, spotting, and other symptoms.
This information can be helpful to identify any patterns or triggers for brown spotting on Nexplanon.
It can also be useful for discussing with your healthcare provider if needed.
4. Be Aware of Your Weight
Changes in weight or a drastic change in diet can also impact your hormone levels and potentially cause brown spotting.
If you experience significant weight changes, it is important to discuss them with your healthcare provider to ensure that it does not affect the effectiveness of Nexplanon or lead to other health issues.
5. Additional Barrier Methods
Using additional barrier methods, such as condoms, can help minimize the risk of brown spotting while using Nexplanon.
Condoms also provide protection against sexually transmitted infections (STIs), making them a good contraceptive option for those who are not in a monogamous relationship.
Also Read: Can skipping a dose of Progesterone lead to spotting?
Home Remedies for Brown Spotting

There are a few home remedies that may help to alleviate brown spotting while using Nexplanon, including:
1. Herbal Supplements
Some individuals have found relief by taking herbal supplements, such as
- Chasteberry
- cinnamon
- ginger
- turmeric
These supplements may help to regulate hormonal balance and reduce brown spotting.
2. Vitamin C Supplements
Vitamin C has been known to help in reducing bleeding and regulating the menstrual cycle.
Taking vitamin C supplements or increasing your intake of foods rich in vitamin C, such as citrus fruits and leafy greens, may help to minimize brown spotting.
3. Stay Hydrated
Drinking enough water is crucial for overall health and can also contribute to a regular menstrual cycle.
Staying hydrated may help to reduce brown spotting on Nexplanon.
4. Rest and Relaxation
Getting enough rest and relaxation is important for maintaining hormone balance.
Be sure to prioritize self-care and give your body the chance to rest and recover.
Getting enough sleep can also help to reduce stress levels, which in turn can minimize brown spotting.
Medical Interventions for Brown Spotting

In some cases, medical interventions may be necessary to address brown spotting while using Nexplanon.
These can include:
1. Hormonal Treatments
Hormonal treatments, such as birth control pills or hormone therapy, may help to regulate the menstrual cycle and reduce brown spotting.
Your healthcare provider will be able to determine if this is a suitable option for you.
2. Cauterization of the Implant Site
Cauterization of the implant site, or burning the tissue around the implant, may be recommended if brown spotting is persistent and does not respond to other treatments.
This procedure helps to reduce irritation and inflammation, potentially reducing brown spotting.
3. IUD Insertion
In some cases, switching to a different form of birth control, such as an intrauterine device (IUD), may help to alleviate brown spotting.
Talk to your healthcare provider about the options available and which one may be best for you.
4. Surgical Removal of the Implant
If brown spotting is severe and persistent, your healthcare provider may recommend removing the implant.
This should only be considered as a last resort and after exploring other treatment options.
When to Seek Professional Help?
While brown spotting is often a manageable side effect of Nexplanon, there are certain circumstances when it’s crucial to seek professional help.
Consider consulting your healthcare provider if you experience:
- Persistent Spotting
- Heavy Bleeding
- Bleeding Between Periods for More Than Three Months Straight
- Severe Pain or Cramping
- Vaginal Discharge
Keep in mind that each person’s body is unique, so what may be effective for one individual might not be for another.
Conclusion
Brown spotting is a common side effect of Nexplanon and can be managed through various methods.
It’s essential to keep in mind that managing brown spotting may require trial and error, and there is no one-size-fits-all solution.
By keeping stress levels in check, tracking your period, maintaining a healthy weight, using barrier methods, and exploring home remedies or medical interventions, you can minimize brown spotting and continue to benefit from the effectiveness of Nexplanon.
Key Takeaways
- Nexplanon is a highly effective form of birth control that may cause brown spotting as a side effect.
- Stress and hormonal imbalances can contribute to brown spotting while using Nexplanon.
- Keeping track of your menstrual cycle and bleeding patterns, staying at a healthy weight, and using additional barrier methods can help manage brown spotting.
- Home remedies, such as herbal supplements and vitamin C, may also help alleviate brown spotting.
- In some cases, medical interventions may be necessary to address persistent brown spotting.
- Remember to consult your healthcare provider if you experience any concerning symptoms or have questions about managing brown spotting on Nexplanon.
FAQs
Does Nexplanon cause brown spotting?
Yes, brown spotting is a common side effect of Nexplanon. It is caused by the hormone changes that occur while using this form of birth control.
Will brown spotting go away on its own?
For some individuals, brown spotting may go away on its own within a few months.
However, if it persists or becomes bothersome, it’s essential to consult with your healthcare provider for potential solutions.
Can I get pregnant while experiencing brown spotting on Nexplanon?
Yes, it’s still possible to get pregnant while experiencing brown spotting on Nexplanon. The implant is highly effective, but it’s not 100% foolproof.
Using additional barrier methods can help reduce the risk of pregnancy and protect against STIs.
How long does brown discharge last on Nexplanon?
The duration of brown spotting on Nexplanon varies from person to person.
It may last for a few weeks, months, or even throughout the entire time you have the implant inserted.
If it persists for more than three months or becomes concerning, seek advice from your healthcare provider.
Can I remove my implant if I’m experiencing brown spotting?
It is not recommended to remove the implant solely because of brown spotting.
However, if it becomes persistent and other treatment options have been exhausted, discuss with your healthcare provider about possibly removing the implant.
Is it normal to have no period on Nexplanon?
Yes, it is normal to have little to no bleeding while using Nexplanon.
This is because the hormone in the implant can cause changes in your menstrual cycle, potentially leading to a lighter or absent period.
How to stop bleeding while on implant naturally?
Some natural remedies that may help reduce or stop brown spotting while on Nexplanon include:
- Eating a balanced diet and maintaining a healthy weight
- Managing stress levels through relaxation techniques, exercise, or talking to a therapist
- Taking herbal supplements, such as Chasteberry or evening primrose oil
- Increasing vitamin C intake in your diet.
Can I take the pill with the implant to stop bleeding?
Yes, taking birth control pills while using Nexplanon can help regulate the menstrual cycle and potentially reduce brown spotting.
However, this should be discussed with your healthcare provider first to ensure it is a safe and suitable option for you.
Useful Resources
https://www.healthline.com/health/drugs/nexplanon-side-effects
https://www.verywellhealth.com/brown-discharge-before-period
Disclaimer:
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