A woman had an etonogestrel implant inserted correctly but reports she cannot feel it in her arm 2 days after insertion. There is a small haematoma at...

Question

A woman had an etonogestrel implant inserted correctly but reports she cannot feel it in her arm 2 days after insertion. There is a small haematoma at the insertion site. What should be done?

Accepted Answer

Palpate the arm carefully around the haematoma; if still not palpable, arrange imaging (high-frequency ultrasound) to localise the device before taking further action

Answer

Assume the implant was not inserted and give a new one

Answer

No action is needed until her next clinic visit in 3 months

Answer

Insert a second implant in the other arm

Answer

Prescribe antibiotics for the haematoma

uk-dfsrh MCQ (SBA): Non-Palpable Implant Post-Insertion Imaging

A woman had an etonogestrel implant inserted correctly but reports she cannot feel it in her arm 2 days after insertion. There is a small haematoma at the insertion site. What should be done?