[Two patients with a non-palpable, subcutaneously implanted contraceptive]

Ned Tijdschr Geneeskd. 2004 Sep 4;148(36):1785-8.
[Article in Dutch]

Abstract

Two women, 33 and 31 years of age, were referred to a surgeon for the removal of a previously implanted hormonal contraceptive after the general practitioner had attempted this without success. However, no foreign body could be detected in either patient by surgery, echography and MRI and by X-ray, echography and MRI, respectively. They were then referred to a gynaecologist. In the first patient, a low level of etonogestrel confirmed that there was no contraceptive in her body. Subcutaneous contraceptives are sometimes implanted incorrectly. If the rod is not palpable at the site of insertion, then the etonogestrel level should be determined first of all. If the hormone level indicates that a rod is indeed present, then echography or MRI may be considered to localise it before resorting to surgical exploration. Many problems can be prevented by proper implantation.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Adult
  • Contraceptive Agents, Female / administration & dosage
  • Contraceptive Agents, Female / adverse effects
  • Contraceptive Agents, Female / blood*
  • Desogestrel / administration & dosage
  • Desogestrel / adverse effects
  • Desogestrel / blood*
  • Device Removal / methods*
  • Drug Implants / administration & dosage
  • Drug Implants / adverse effects
  • Female
  • Foreign-Body Migration / diagnosis*
  • Humans

Substances

  • Contraceptive Agents, Female
  • Drug Implants
  • etonogestrel
  • Desogestrel