A 28-year-old woman has an etonogestrel implant removed. At removal, the clinician notes the implant appears to be fractured - two separate pieces are...

Question

A 28-year-old woman has an etonogestrel implant removed. At removal, the clinician notes the implant appears to be fractured - two separate pieces are retrieved. What should be documented and what follow-up is needed?

Accepted Answer

Document the finding, ensure both pieces are accounted for, and if there is concern that a fragment remains, arrange imaging (ultrasound) and consider referral for removal

Answer

No documentation is needed

Answer

The fractured implant should be discarded without documentation

Answer

Prescribe antibiotics prophylactically

Answer

A fractured implant means the contraception was not effective; offer EC

uk-dfsrh MCQ (SBA): Implant Fracture at Removal

A 28-year-old woman has an etonogestrel implant removed. At removal, the clinician notes the implant appears to be fractured - two separate pieces are retrieved. What should be documented and what follow-up is needed?