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Insertion and removal of Nexplanon
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  1. Kenneth Menon
  1. The Ongar Health Centre, Ongar CM5 0AL, UK
  1. Correspondence to Dr Kenneth Menon, The Ongar Health Centre, Ongar CM5 0AL, UK; kenmenon{at}aol.com

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The letter by Wallings1 draws attention to several important aspects of the insertion technique for Nexplanon as advised by the manufacturer and approved by the Clinical Effectiveness Unit of the Faculty of Sexula and Reproductive Health.

  1. To place the arm under the head externally rotated and abducted to 90° for any length of time is as unnatural as it is uncomfortable. This is especially so if the operator is not experienced and is likely to take time in insertion …

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