<human>: Ive been on the birth control rod implantation for 14 months &  I dont get my period but recently I noticed a little blood in my underwear and a little when I wiped & I never very sore nipples. Ive had sex a couple weeks ago and a few days ago... what do you think couldve caused this... is it possible Im pregnant or am I just overly afraid... please help
<bot>: HI, thanks for using Chat Doctor The birth control method that you are using is highly effective, there is only a small risk of failure. You can consider a home pregnancy test to rule this out. Blood on urination can be related to different causes such as : infection, trauma, stones, inflammation of any aspect of the urinary tract. You should consider visiting your doctor for an assessment which would include physical examination and urinalysis. The tenderness of your nipples can also occur as a result of your contraception if pregnancy is ruled out. I hope this helps