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Letters to the editor
Adverse reaction to Nexplanon®
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  1. Farah Chaudhry, MRCGP, DFSRH
  1. Senior Specialty Doctor, Contraception and Sexual Health Kirklees, and General Practitioner at Leeds Student Medical Practice, Leeds, UK; farah.chaudhry@nhs.net

https://doi.org/10.1136/jfprhc-2013-100633

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    I thought that Journal readers might be interested to hear about a 24-year-old university student who attended our surgery to have her subdermal implant removed and replaced as the device's expiry date approached. She had been very satisfied with her Implanon® and had experienced no problems. Prior to the subdermal implant she had been fitted with a Mirena® intrauterine system (IUS), which she had requested be removed due to discomfort during intercourse. The device was removed after 22 months, low libido being documented in the case notes as the patient's reason for requesting removal.

    The removal and refitting was performed under xylocaine infiltration and the arm dressed with Steri-Strips™ and sterile gauze with bandaging on 2 October 2012. This bruised then healed …

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