What is included in the long-term monitoring following contraceptive implant placement?

Updated: Jan 29, 2018
  • Author: Megan Brady Shannon, MD; Chief Editor: Michel E Rivlin, MD  more...
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Answer

After insertion and confirmation of proper placement of the implant by practitioner and patient palpation, no further monitoring is necessary. Acetaminophen or ibuprofen is an acceptable option for postprocedural pain. A patient user card provided in the device packaging should be filled out, indicating the 3-year removal date, and given to the patient.

The Nexplanon contains barium sulfate and is radiopaque. If nonpalpable, it can be identified with radiography or CT scanning.

If the first-generation Merck contraceptive implant, Implanon, cannot be palpated after insertion or at the time of removal, it can be localized with high-resolution ultrasonography (>10 MHz) or MRI. [4]


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