Hello,
As per my clinical experience, the spotting and brown
vaginal discharge may be in relation with various possibilities as:
- Hormone irregularity
-
Progesterone deficiency
- Vaginal infection
- Pelvic inflammatory conditions
- Low hemoglobin
- Others
The Implanon contains estrogen, used for
hormone replacement therapy, premenopausal symptoms and others, but not routinely to get withdrawal bleeding in spotting cases. In my clinic, I do recommend a 5 days course of Progestin only or combined
contraceptive pills, after which you will get withdrawal bleed within next 7 working days. However, a cervical swab,
ultrasound of the abdomen and pelvis are necessary to get further directions of guidelines.
Hope I have answered your query. Let me know if I can assist you further. Take care.
Regards,
Dr. Bhagyesh V. Patel, General Surgeon