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Implant duration expiry — DFSRH MCQ

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EasyProgestogen-only contraceptionImplant duration expiryDFSRH

A 29-year-old woman with an etonogestrel implant inserted 3 years ago attends on the expiry date. She had sex yesterday and wants replacement. What is the most appropriate management?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: D — Replace the implant today with no additional precautions

The best answer is “Replace the implant today with no additional precautions”. Replacement on the day the licensed 3-year duration ends maintains contraceptive cover, so no emergency contraception or additional precautions are needed for intercourse yesterday. A pregnancy test is not required merely because replacement is due. Delaying replacement or removing the implant before an alternative is in place would create avoidable risk.

Reference: CoSRH/FSRH, Progestogen-only Implant guideline: https://www.cosrh.org/Common/Uploaded%20files/documents/fsrh-guideline-progestogen-only-implants.pdf