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Deep or Impalpable Contraceptive Implants

Referral Criteria for the Management of Deep or Impalpable Contraceptive Implants

 

Definition

 

Women presenting for removal of a contraceptive implant where the device is impalpable, deep enough to cause concern that standard removal will not be possible, or where there have been previous attempts at removal.

 

Information to Include when referring to General Gynae Clinic:

 

Duration of use

Where and by whom it was fitted

Results of any x rays or scans

 

Consider pregnancy testing and advise use of additional contraceptive precautions if device impalpable. Patient will be assessed by an experienced contraception doctor working in RCH Sexual Health Services with onward referral for ultrasound guided removal of the device if required.

 

 

References

 

Faculty of Sexual and Reproductive Healthcare Clinical Guidance. Progestogen Only Implants February 2014