Related Experiment Videos
Persistent vaginal bleeding in a patient with a broken Implanon.
1Department of Reproductive Health, Lewisham Primary Care Trust, London, UK. s.pickard@macunlimited.net
The Journal of Family Planning and Reproductive Health Care
|November 7, 2002
Summary
A fractured Implanon contraceptive implant caused prolonged vaginal bleeding in a patient. Replacing the broken device resolved the abnormal bleeding, highlighting the importance of implant integrity for effective contraception.
Area of Science:
- Contraception
- Reproductive Health
- Medical Device Integrity
Background:
- Implanon (etonogestrel implant) is a progestogen-only contraceptive method.
- It is typically inserted subdermally in the upper arm.
- Consistent use is associated with amenorrhea or light bleeding patterns.
Observation:
- A 29-year-old woman experienced persistent, prolonged vaginal bleeding after 2 years of Implanon use.
- The bleeding changes coincided with a reported trauma to her arm.
- The patient's bleeding pattern shifted from amenorrhea to heavy, prolonged monthly episodes.
Findings:
- The removed Implanon device was found to be fractured.
- The fracture likely occurred due to the reported trauma.
- Replacement with a new Implanon device led to the resolution of abnormal uterine bleeding.
Implications:
- Implant fracture can compromise contraceptive efficacy and lead to irregular bleeding.
- Trauma to the insertion site may increase the risk of device fracture.
- Maintaining the physical integrity of subdermal contraceptive implants is crucial for patient outcomes.