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Unintended pregnancy with subdermal implant following miscarriage
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I inserted an etonogestrel implant (Implanon®) in a woman on what we thought was Day 1 of her first menstrual cycle following a miscarriage. She did not continue to bleed after that day, which was notably different to her usual menstrual loss. She next presented 35 days later requesting removal of her implant because she was pregnant. As she was happy to continue with the pregnancy her implant was removed and she went on to deliver a healthy child.
Her general practitioner clarified that 22 days prior to the insertion an ultrasound scan (USS) showed a gestational sac with uncertain viability. A …