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''Inserting the etonorgestrel implant into the thigh: A case report''
Elaine Cristina Fontes de Oliveira1, Ana Luiza Lunardi Rocha1
1Department of Obstetrics and Gynecology, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
Contraception
|April 23, 2024
Summary
This case report details an alternative insertion site for the etonorgestrel implant, the thigh, for nephropathic patients undergoing hemodialysis. This approach avoids complications in patients with arteriovenous fistulas.
Area of Science:
- Contraception and Reproductive Health
- Nephrology
- Vascular Access
Background:
- The etonorgestrel implant is a long-acting reversible contraceptive typically inserted subdermally in the upper arm.
- Patients with end-stage renal disease often require hemodialysis, necessitating the creation of arteriovenous fistulas.
- Arteriovenous fistulas can pose challenges for standard contraceptive implant insertion sites due to potential complications.
Observation:
- A case report explored an alternative insertion site for the etonorgestrel implant.
- The alternative site chosen was the medial side of the thigh.
- This was in the context of nephropathic patients with existing arteriovenous fistulas.
Findings:
- Successful alternative insertion of the etonorgestrel implant in the medial thigh was achieved.
- This site potentially mitigates risks associated with implanting near arteriovenous fistulas.
- The thigh offers a viable alternative location for etonorgestrel implant placement.
Implications:
- This alternative site may improve contraceptive options for hemodialysis patients.
- It highlights the need for individualized approaches to contraceptive device placement.
- Further research could validate the safety and efficacy of thigh insertion for the etonorgestrel implant.
