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

### input:
Hi I m 22 year old I had a implanon for 4 years nd had put a new one in April 2013 nd had it removed on June 5th 2014 what I wanna know is can I fell pregnant straight away nd is their a chance I may have a miscarriage nd I have been also having weird symptoms like my belly seems to feel a bit tight at times seem to be weeing abit nd had a day of just spotting I had unprocected sex with my boyfriend on the weekend before my implanon was removed and all so afterwards

### output:

Hello and I hope I can help you today.First, I want to reassure you that it is not possible that you could have conceived if you had unprotected sex before your Implant was removed. Implanon is nearly 100 percent effective in preventing pregnancy while it is in place, and it takes time for you to ovulate again (at least 7-10 days) after it is removed. So if you only had unprotected sex immediately before and after your implant was removed, it is unlikely you could have conceived so quickly. Pregnancy symptoms vary widely between women, and many of the same symptoms we commonly associate with pregnancy such as nausea, bloating, breast tenderness, headaches and irregular bleeding can also happen from an irregular menstrual cycle as well as pregnancy. Many women have irregular periods after discontinuing a hormonal birth control method. So, I suggest you wait for your period, which should occur around 4 weeks after your Implant removal, and if you miss your period, a urine pregnancy test will be accurate at this time. I hope I was able to adequately answer your question today and that this information was helpful. Best wishes,