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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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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