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Best Practice advice: “If you can’t feel it – find it!”

GPs should check that the implant is easily palpable at the end of the insertion process. This is to check that the insert is actually present, to reduce the chance of migration to deeper tissues and to aid later removal. If it is not palpable after insertion, the patient should be referred to a surgeon for localisation through ultrasound and extraction.

GPs should also ensure that the patient gives informed consent before insertion of the implant. The GP should refer the patient to the Drug Product information sheet and obtain written consent from the patient. Appropriate training in the insertion and removal of Implanon is recommended.

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