Deep/Impalpable Contraceptive Implants
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:
Duration of use
Where and by whom it was fitted
Results of any x rays or scans
If the device is impalpable please request xray of the arm to see if device is present. If the device is not seen on this xray, CXR is also recommended in case of intravascular migration. Please perform pregnancy testing and advise use of additional contraceptive precautions. 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.
Faculty of Sexual and Reproductive Healthcare Clinical Guidance. Progestogen Only Implants February 2014