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Persistent vaginal bleeding in a patient with a broken Implanon®
  1. Sally Pickard, MBBS, DRCOG, Staff Grade and
  2. Lesley Bacon, MB BChir, MFFP, Consultant
  1. Department of Reproductive Health, Lewisham Primary Care Trust, London, UK
  1. Correspondence Sally Pickard, Department of Reproductive Health, Lewisham Primary Care Trust, St Giles Road, London SE5 7RN, UK. Tel: +44 (0) 20 7771 3330. Fax: +44 (0) 20 7771 3338. E-mail: s.pickard{at}


A 29-year-old woman with an Implanon® contraceptive device in situ presented with persistent and prolonged vaginal bleeding. The implant had been inserted 2 years previously; the patient had been happy with it and had been mainly amenorrhoeic with the occasional light period. She was concerned that the implant had broken during a game of 'rough and tumble' with her son in August 2000. Since the trauma to her arm her bleeding pattern had changed, and she began bleeding heavily for 3 weeks every month. The rod was removed and found to be fractured halfway across its width. A new Implanon® device was inserted and the bleeding settled.

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