Simultaneous removal of impalpable implants in both the left and the right arm - a case report and implications for their use in low-resource settings.
| Title: | Simultaneous removal of impalpable implants in both the left and the right arm - a case report and implications for their use in low-resource settings. |
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| Authors: | Goldstuck ND; Department of Obstetrics and Gynaecology, Faculty of Medicine and Health Sciences, University of Stellenbosch, Francie van Zyl Dr, Tygerberg Hospital, Bellville, Cape Town, South Africa.; Mjuleka P; Department of Obstetrics and Gynaecology, Faculty of Medicine and Health Sciences, University of Stellenbosch, Francie van Zyl Dr, Tygerberg Hospital, Bellville, Cape Town, South Africa. |
| Source: | The European journal of contraception & reproductive health care : the official journal of the European Society of Contraception [Eur J Contracept Reprod Health Care] 2025 Feb; Vol. 30 (1), pp. 39-41. Date of Electronic Publication: 2024 Oct 16. |
| Publication Type: | Journal Article; Case Reports |
| Language: | English |
| Journal Info: | Publisher: Informa Healthcare Country of Publication: England NLM ID: 9712127 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1473-0782 (Electronic) Linking ISSN: 13625187 NLM ISO Abbreviation: Eur J Contracept Reprod Health Care Subsets: MEDLINE |
| Imprint Name(s): | Publication: London : Informa Healthcare; Original Publication: Carnforth, Lancs, UK ; Pearl River, N.Y. : Parthenon Pub. Group, c1996- |
| MeSH Terms: | Desogestrel*/administration & dosage ; Device Removal*/methods ; Contraceptive Agents, Female*/administration & dosage ; Drug Implants* ; Long-Acting Reversible Contraception*; Arm/diagnostic imaging ; Humans ; Female ; Middle Aged |
| Abstract: | Implanon NXT® is a single rod contraceptive implant that is a long-acting reversible contraceptive method. Placement and removal is usually simple if the instructions of use are followed. Deviation from these instructions may lead to the implant becoming impalpable and consequently difficult to remove. We report on a case of a 46- year- old woman who had an impalpable implant in both the left and the right upper arms simultaneously. They had been placed approximately ten and seven years previously and were probably not releasing etonogestrel and were no longer relied on for contraceptive efficacy. The implants were removed relatively easily after ultrasound mapping. This case highlights some of the problems with the provision of implants in low-resource settings. The problems of implant management and some practical suggestions regarding its use in these settings is discussed. |
| Contributed Indexing: | Keywords: contraceptive implants; impalpable; removal; ultrasound |
| Substance Nomenclature: | 81K9V7M3A3 (Desogestrel); 304GTH6RNH (etonogestrel); 0 (Contraceptive Agents, Female); 0 (Drug Implants) |
| Entry Date(s): | Date Created: 20241016 Date Completed: 20250211 Latest Revision: 20250515 |
| Update Code: | 20260130 |
| DOI: | 10.1080/13625187.2024.2413615 |
| PMID: | 39411926 |
| Database: | MEDLINE |
Journal Article; Case Reports