A 29-year-old woman attends the GP requesting removal of her etonogestrel implant due to persistent unscheduled bleeding for 4 months. Before removal,...

Question

A 29-year-old woman attends the GP requesting removal of her etonogestrel implant due to persistent unscheduled bleeding for 4 months. Before removal, which is the single most appropriate step?

Accepted Answer

Exclude other causes of unscheduled bleeding (pregnancy test, STI screening, cervical screening if due)

Answer

Check serum progesterone to assess implant function

Answer

No investigation required - remove the implant as requested

Answer

Arrange a pelvic ultrasound

Answer

Prescribe tranexamic acid for 3 months before considering removal

uk-drcog MCQ (SBA): Unscheduled Bleeding on Implant

A 29-year-old woman attends the GP requesting removal of her etonogestrel implant due to persistent unscheduled bleeding for 4 months. Before removal, which is the single most appropriate step?