Conversation: The conversation between human and AI assistant.
[|Human|] I ve had implanon for 2 yrs now. When I first got it I bleed for about 6 months .. I have had may 3 periods since then .. maybe! I just recently started being more sexually active and started bleeding again I thought it was related to that but now I have been bleeding for about 3 months now and I m starting to think something is wrong
[|AI|]  Hello, Thanks for posting your query. I have gone through it and understood your concern. Persistent bleeding after settling down with the contraception should call for further evaluation by an expert. You need a proper clinical examination, a sonogram of the pelvis preferably in the trans-vaginal route, blood counts, coagulation and liver profile and urinalysis. Pregnancy should be excluded. Local causes like erosion, polyps and infections should also be excluded. Weight disturbances, stress, infections and use of certain medications create hormone disturbances and can cause such bleeding. Hope you find this information useful. Wish you good health.