A 19-year-old woman presents with irregular bleeding 3 months after insertion of an etonogestrel implant. She has no other symptoms. STI screening is ...

Question

A 19-year-old woman presents with irregular bleeding 3 months after insertion of an etonogestrel implant. She has no other symptoms. STI screening is negative. What is the most appropriate advice?

Accepted Answer

Reassure that irregular bleeding is common in the first 3-6 months and usually settles

Answer

Remove the implant immediately

Answer

Add a combined oral contraceptive permanently to regulate bleeding

Answer

Prescribe tranexamic acid as first-line treatment

Answer

Investigate with transvaginal ultrasound

uk-dfsrh MCQ (SBA): Implant Irregular Bleeding Management

A 19-year-old woman presents with irregular bleeding 3 months after insertion of an etonogestrel implant. She has no other symptoms. STI screening is negative. What is the most appropriate advice?