PT - JOURNAL ARTICLE AU - Campodonico, Joanna AU - Wolfrey, Jeffrey AU - Buchanan, Jenna TI - Reports of Two Broken Nexplanon® Rods AID - 10.3122/jabfm.2019.02.180222 DP - 2019 Mar 01 TA - The Journal of the American Board of Family Medicine PG - 269--271 VI - 32 IP - 2 4099 - http://www.jabfm.org/content/32/2/269.short 4100 - http://www.jabfm.org/content/32/2/269.full SO - J Am Board Fam Med2019 Mar 01; 32 AB - Damage to progestin containing contraceptive implants has been reported for Implanon® rods but there appear to be few reports of damage to Nexplanon® rods. This report describes 2 cases of Nexplanon® rod breakage in an 18-year-old female and a 25-year-old female. The literature regarding damaged progestin implants is reviewed. These reports often involve an alteration in menstrual bleeding pattern and patients frequently request removal of bent or broken implants. The overall incidence of rod breakage and impact of damaged implants on contraceptive efficacy is not clear. Evidence based guidelines to inform management of suspected damage to contraceptive implants would be helpful. In the meantime, a shared decision-making process offering removal and replacement of damaged implants would seem reasonable.