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Recommendations for Contraceptive Use

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NORPLANT® Implants


Q.11. Should a client with keloids or a history of keloids be eligible for insertion or removal of NORPLANT® ?

Recommendations

Rationale

Yes. History of keloids is not a reason to restrict NORPLANT® Implants insertion or removal. However, a woman with previous keloid formation or a family history of keloids should be informed (during the counseling on risks and benefits of the method) that keloid formation at the insertion site is generally rare, but she may be at increased risk of keloid formation. Keloid formation resulting from NORPLANT® Implants insertion is a rare event. However, some women are at greater risk of keloids following any surgical procedures. In general, the degree of risk of keloid formation can be evaluated according to the following factors: history of keloids, family history of keloids, and deeper skin pigmentation (of any race). The potential for keloid formation at the insertion site should be discussed with women at increased risk of keloids to allow them to make an informed decision about use of this method.
  1. Nuovo J, Sweha A. Keloid formation from levonorgestrel implant (Norplant system) insertion. Journal of the American Board of Family Practice 1994;7(2):152-4.

Any part of Recommendations for Updating Selected Practices in Contraceptive Use may be reproduced or adapted to meet local needs without prior permission from the TG/CWG Secretariat, provided the TG/CWG is acknowledged and the material is made available free of charge or at cost.


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