by Liya Qiu, Hengqiu Sun, Shengjie Jiu
Abstract
A 54-year-old woman [in China] underwent removal of six retained levonorgestrel implants after 26 years. Due to dense adhesions, surgeons excised each implant along with the surrounding fibroadipose tissue. Histopathological examination revealed focal degeneration and necrosis. Ultra-long-term retention may be associated with local tissue damage, supporting removal after the approved duration of use.
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Case Report: Contraception. Volume 165 111758 January 2027