Clinical Medicine Reviews in Women's Health

Contraceptive practice is a major public health issue in Nigeria and other sub-Saharan African countries with high fertility rate. Among the available contraceptive methods, Implanon contraceptive implant is one that provides a highly effective, convenient, nonuser-dependent, reversible contraception. However, it is not without complications. These complications could be as a result of the inherent effect of the active drug or the process of insertion and removal. Here, we report two cases of missing Implanon: (1) as a result of siting the Implanon in an unusual location and (2) prolonged use of Implanon for >9 years before seeking removal. The Implanon remained unlocated in the first case but was removed in the second case.