This study aims to evaluate whether the timing of postpartum Implanon insertion (immediately postpartum, early postpartum, or late postpartum) affects menstrual patterns

• Etonogestrel implants (Implanon) are widely used for postpartum contraception. However, the timing of insertion may influence menstrual patterns, including irregular bleeding, amenorrhea, and prolonged bleeding episodes. Despite the increasing use of immediate postpartum contraception, there is limited research on how the timing of Implanon insertion affects menstrual cycle regulation.
• Furthermore, lactation and hormonal changes postpartum may modify the bleeding patterns in women using Implanon, with breastfeeding women experiencing a higher likelihood of amenorrhea due to prolactin-induced suppression of ovulation.
• This study aims to fill these gaps by systematically comparing menstrual outcomes based on timing of Implanon insertion postpartum

Inclusion Criteria:

• Postpartum women opting for Implanon as contraception.
• No contraindications to hormonal contraception.

Exclusion Criteria:

• . Women with known bleeding disorders.
• Use of other hormonal contraceptives during the study period.
• Postpartum complications such as severe infections or retained products of conception

Women will be grouped into:

1. Immediate postpartum (Insertion within 48 hours of delivery).
2. Early postpartum (Insertion between 4-6 weeks postpartum).
3. Late postpartum (Insertion after 6 weeks postpartum