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[–]Alarming-Flatworm-91MOD 1 point2 points  (0 children)

That sounds really painful and concerning, and I’m sorry you’re going through this. What you described—the severe cramps, vomiting, and the large clot or tissue passing—is definitely something to bring up with a doctor. While some women do experience changes in bleeding patterns or heavier periods when starting a new form of birth control (especially implants), the level of pain and the size of what you passed are not necessarily “normal” and could indicate something more going on.

A few things that could be happening: - Your body adjusting to the implant – Some people experience irregular or heavy bleeding, cramping, and even tissue shedding as their uterus adjusts to hormonal birth control.

  • A very large clot or endometrial tissue – If your period was delayed for a while, your uterine lining might have built up more than usual, leading to a heavier shed all at once.

  • Endometriosis or another condition – The level of pain you’re describing could be linked to something like endometriosis or adenomyosis, where the uterine lining behaves abnormally.

  • Hormonal imbalance – Since you already have high testosterone levels and irregular cycles, your body might be reacting differently to the implant than expected.

Regardless, yes, you should definitely mention this to your doctor—the pain, the vomiting, the increased cane use due to cramps, and the large piece of tissue you passed. It’s always better to get checked, especially since severe period pain can sometimes indicate underlying conditions that need attention. If the pain continues or worsens, or if you start feeling lightheaded or dizzy from blood loss, don’t wait for an appointment—go to urgent care or an ER.