Top Form Tuesday: Broken Nexplanon Still Provides Contracetive Coverage

To be in top form you should review your contraceptive choice with your provider regularly, at least on an annual basis. But there are times you need to get in for an extra discussion! Here a patient presented after having her Nexplanon for a year and noticing it was cracked. An ultrasound of the device showed that it was still in one piece. Broken pieces can migrate and make the device harder(but not impossible) to retrieve. The hormone in Nexplanon is impregnated into the make up of the device itself, so even a small break should not disrupt the dissemination of the hormone. Thus even broken Nexplanons should work, and shouldn't be the cause of abnormal bleeding.


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