### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi there Shari-lee here I just have a few questions that I would like a answered please. So I have had the implanon since the 13/12/13 everything was fine for the first month and a half but now I have light spotting, wake up feeling like I am going to throw up, constantly wanting to eat, bloated, back aching, hips are aching, getting light headed and Im getting light cramps AND my boobs seem to be getting bigger. These are all like pregnancy symptoms, I know that with the implant these are some of the side effects but I was 16 days late for my period and when I got it its only spotting like very very faint pink to the point where you can only just see it. The only reason I am concerned is I have rea. In so many places about ladies falling pregnant on the implant or having an ectopic pregnancy, I did not have a pregnancy test before incertion as they didnt ask me to perform one I also had finished my period for a week before it got inverted. Myself and my partner where sexually active before the implant was placed and we have had a couple of incidents before I got it put in but never thought anything of it. Is this just me being worried and concerned or whats happening to my body?

### output:

Hi, I understand your concern. The chances of pregnancy are there as the timing of insertion was late. Also, if it is inserted late, a backup contraceptive method is advised for next 7 days as it takes 7 days to begin functioning. So this is unfortunate. However, in midcycle there is no way to confirm pregnancy. Having said all this, I want to inform you that symptoms similar to pregnancy may occur with implant too. So the best way out now is to get a urine test for pregnancy. If it is negative, these symptoms are more likely due to Implant. In that case they tend to settle in a few months. If urine test is positive an ultrasound will be needed to confirm the location of pregnancy. So get a pregnancy test done and decide future plan according to the results. Hope I was able to help you. Thanks for using Chat Doctor. I would be happy to answer any further queries. Have a nice day.