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Reports of Two Broken Nexplanon® Rods
Joanna Campodonico1, Jeffrey Wolfrey2, Jenna Buchanan2
1From University of Arizona College of Medicine Phoenix, Phoenix, AZ. jcampodo85@gmail.com.
Journal of the American Board of Family Medicine : JABFM
|March 10, 2019
Summary
Breakage of Nexplanon contraceptive implants is rare but can occur, potentially affecting menstrual bleeding. Management should involve shared decision-making for removal and replacement.
Area of Science:
- Contraception
- Reproductive Health
- Medical Device Integrity
Background:
- Progestin-only contraceptive implants are widely used for long-term birth control.
- While Implanon rod damage is documented, Nexplanon rod damage reports are less common.
- Understanding the integrity and efficacy of contraceptive implants is crucial for patient care.
Observation:
- This report details two cases of Nexplanon rod breakage in young women.
- The patients experienced altered menstrual bleeding patterns.
- Literature review indicates damaged implants often lead to patient-initiated removal requests.
Findings:
- Nexplanon rod breakage, though infrequent, is a potential complication.
- The exact incidence and impact on contraceptive efficacy remain unclear.
- Damaged implants may necessitate intervention to ensure reliable contraception.
Implications:
- Further research is needed to establish evidence-based guidelines for managing damaged contraceptive implants.
- Shared decision-making between patients and clinicians is recommended for damaged implant cases.
- Prompt removal and replacement of broken implants may be advisable to maintain contraceptive effectiveness.
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