A 29-year-old woman with an etonogestrel implant presents with persistent heavy bleeding for 6 weeks. STI screen is negative and pregnancy test is neg...

Question

A 29-year-old woman with an etonogestrel implant presents with persistent heavy bleeding for 6 weeks. STI screen is negative and pregnancy test is negative. She wants to keep the implant. What medical treatment can be tried?

Accepted Answer

A short course of a COC (e.g. 3 months), or a short course of mefenamic acid, or tranexamic acid can be tried to manage problematic bleeding while the implant is retained

Answer

No medical treatment exists for implant-related bleeding

Answer

Antibiotics will resolve the bleeding

Answer

She must have the implant removed; no medical treatment can help

Answer

She should add a second implant

uk-dfsrh MCQ (SBA): Implant Problematic Bleeding Medical Treatment Options

A 29-year-old woman with an etonogestrel implant presents with persistent heavy bleeding for 6 weeks. STI screen is negative and pregnancy test is negative. She wants to keep the implant. What medical treatment can be tried?