Priority 29 from the Contraception PSP

UNCERTAINTY: What risk factors are there for deep insertion of implants?    (JLA PSP Priority 29)
Overall ranking 29
JLA question ID 0049/29
Explanatory note The use of LARCs is increasing, the most commonly used LARC in England is the implant (12.9% attendees at community SRH clinics, 159 thousand prescriptions. It is important that rare complications are monitored by the NHS rather than just the manufacturer. “ a woman's choice and acceptance of LARC may be influenced by potential health dis-benefits (side effects and risks) as well as non contraceptive benefits of LARC)” The short and long term effects of contraceptive choices were a frequently raised by patients and healthcare professionals. There is some overlap with this and priority 2. 
Evidence

Progestogen-only Implants; CEU Statement: Intravascular insertion of Nexplanon® - June 2016

 

Extra information provided by this PSP
Original uncertainty examples

Are deep implant insertions more common if the insertion was done as part of a removal and refit procedure? (both)
Submitted by Healthcare Professionals x 0~Patients x 0~Both x 1
PSP information
PSP unique ID 0049
PSP name Contraception
Total number of uncertainties identified by this PSP. 57  (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
Date of priority setting workshop 21 April 2017