Case Report: Traumatic Incomplete Fracture of an Implanon NXT® Contraceptive Implant.

Howett, Rebecca, Gertz, Alida M, Kgaswanyane, Tiroyaone, Petro, Gregory and Morroni, Chelsea ORCID: https://orcid.org/0000-0002-2026-6039 (2019) 'Case Report: Traumatic Incomplete Fracture of an Implanon NXT® Contraceptive Implant.'. African Journal of Reproductive Health, Vol 23, Issue 4, pp. 124-128.

Text Howett et al_Broken Implant Case Report_ARJH 2019 - Final Manuscript.docx - Accepted Version Download (226kB)

Abstract

The etonogestrel (ENG) subdermal contraceptive implant (Implanon NXT®) is a safe and highly effective method of contraception which is increasing in popularity globally. This case report describes a 26-year-old woman who requested removal of the Implanon NXT® contraceptive implant. She reported that her implant had bent following direct trauma. The implant was removed in accordance with her request and without complication, but was noted to be incompletely fractured. We compare this case with a summary of the existing literature on fractured or damaged contraceptive implants. Structural damage detected whilst the implant is in situ is one potential complication of contraceptive implant use. The incidence of this complication and the implications for contraceptive efficacy are unknown. Damaged implants may present healthcare providers with more technically challenging "difficult removals". With the scale-up of services for implant provision, consideration should be given to this issue in order to inform counselling and removal services.

Item Type:	Article
Subjects:	WA Public Health > Health Problems of Special Population Groups > WA 309 Women's health WP Gynecology > Contraception > WP 630 Contraception WP Gynecology > Contraception > WP 640 Contraceptive devices (General and female)
Faculty: Department:	Clinical Sciences & International Health > International Public Health Department
Depositing User:	Rachel Dominguez
Date Deposited:	02 Apr 2020 14:41
Last Modified:	04 Aug 2023 14:10
URI:	https://archive.lstmed.ac.uk/id/eprint/14110

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