Long Acting Reversible (LARCs)
Managing Problems Associated with Implant Use
- IMPALPABLE IMPLANT
- A woman with an impalpable implant should be advised to use additional precautions or abstinence until the presence of an implant is confirmed
- Referral to an expert implant removal centre is recommended.
- Location of an impalpable implant identified before exploratory surgery done.
- High frequency linear ultrasound remains the recommended imaging.
- Barium sulphate in the Nexplanon is radio opaque.
Problematic bleeding & Pregnancy
- After exclusion of other causes, women who experienced troublesome bleeding can be offered COC cyclically or continuously for 3 months.
- Women with a continuing pregnancy should be advised to have the implant removed.
- The implant is not known to be harmful in pregnancy.
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