A 29-year-old woman with a BMI of 38 kg/m² requests the etonogestrel implant. What is the UKMEC category and is there any concern about efficacy?...

Question

A 29-year-old woman with a BMI of 38 kg/m² requests the etonogestrel implant. What is the UKMEC category and is there any concern about efficacy?

Accepted Answer

UKMEC 1 - obesity does not restrict implant use. There is no strong evidence that BMI significantly reduces implant efficacy; one implant daily is recommended regardless of BMI

Answer

UKMEC 3 - reduced efficacy at high BMI

Answer

UKMEC 4 - the implant is contraindicated above BMI 35

Answer

She needs two implants for adequate efficacy

Answer

The implant should be replaced every 2 years at this BMI

uk-dfsrh MCQ (SBA): UKMEC 1 Implant Any BMI

A 29-year-old woman with a BMI of 38 kg/m² requests the etonogestrel implant. What is the UKMEC category and is there any concern about efficacy?