Conversation: The conversation between human and AI assistant.
[|Human|] I am on implanon, its been 4 yrs without my period. Yesterday something felt no right down there, irritated.. But not yeast infection, sex last night was very painful and never is. Today I woke up with heavy bleeding, cramping that feels like contractions and causes me to breathe heavy and pain in my back and legs. Is this just a period or am I having a miscarriage?
[|AI|]  Hello, thanks for using Chat Doctor Implant is a progestin based hormonal contraceptives. The most common side effects are changes in menstrual patterns including absence of menses which is the case with you. Other possible side effects is the formation of clots that produce severe pains in the location affected. The calf muscle and lungs are frequently being affected by clots and clot formation could be potentially dangerous and lethal. The risk of clot formation is even more in women with other risk factors such as obesity, cigarette smoking etc. Generally, it protects for a period of three years. After which the effectiveness is no longer guaranteed. Haven been on the implant for over four years, the bleeding you experience could be due to a miscarriage or an abnormal bleeding related to implant decrease. However, it is necessary to do a home pregnancy test to rule out pregnancy and to see a doctor to rule out a deep venous thrombosis (clot). Best regards and hope this helps you. Chat Doctor.