In Situ Breakage of Implanon® - Two Cases of a Rare Occurrence

Torres, R; Mendes, N; Machado, AI; Marques, C

http://hdl.handle.net/10400.17/1413

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Abstract(s)

BACKGROUND: In situ breakage of Implanon® is a rare occurrence with unknown clinical significance. Authors report two different cases of broken Implanon® of women attended at our Family Planning Clinic. DISCUSSION: In situ implants may spontaneously and asymptomatically break, although some uncertainty relies on whether that situation has a real impact on the contraceptive effectiveness or on bleeding patterns. Even more, it can be argued if, as a result of an occurrence of that nature, the implant shall or shall not be removed before the envisaged 3-year period of effectiveness. CONCLUSION: Currently, the clinical significance of implant breakage remains unknown. The decision to remove a broken or bent implant should be based on clinical judgements considering patients' wishes.

Keywords

Contraceptive Agents, Female/administration & dosage Contraceptive Agents, Female/adverse effects Desogestrel/administration & dosage Desogestrel/adverse effects Device Removal Drug Implants Equipment Failure Family Planning Services Portugal MAC GIN