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Factors associated with removal difficulties of etonogestrel-containing contraceptive implants (Nexplanon)

European Journal of Obstetrics & Gynecology and Reproductive Biology Mar 29, 2018

Chevreau J, et al. - Researchers searched for risk factors associated with difficult removals of etonogestrel-containing contraceptive implants(Nexplanon). In a stepwise binary logistic regression analysis, they identified placement by a private practitioner, weight gain >1 kg since placement, and duration of implant placement >25 months as independent risk factors for removal difficulties. These three simple parameters might help the physician to identify “at risk-patients”, and suggest a specific consultation before risking a potentially hazardous removal (with its associated, specific morbidity). The significance of training in implant insertion was also highlighted in this study.
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