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Implanon insertion procedure

Implanon (Nexplanon) Insertion - YouTub

  1. Implanon is a long acting contraceptive implant that is fitted by trained healthcare professionals. The implant is 4cm by 2mm in size and is a semi rigid pla..
  2. This Channel is the extension of UpToDate in Obstetrics & Gynecology Group on Facebook.Follow us here: https://www.facebook.com/groups/177673781589133
  3. Equipment for procedure available (YES/NO) The patient was placed in a supine position and the (RIGHT/LEFT) arm was marked with a pen at the insertion site 6-8 cm above the medical epicondyle in the groove between the triceps and biceps. The insertion site was cleaned with an antiseptic. (NUMBER) mLs of anesthetic was place along the insertion.

Replacement (removal and re-insertion) site: Position the patient's arm as described above. The new implant may be inserted in the same arm, and through the same incision if the insertion site is in the correct position. Otherwise site the new implant as per the above insertion site information Place the needle tip/applicator at a 30 degree angle to the skin at the insertion site. While applying counter traction to the skin around the insertion site, puncture the skin with the needle tip. Lower the applicator so it is parallel to the skin and aim towards the guiding mark through the insertion as the skin pushes up the lever that secures the implant into the needle. • Be careful not to touch the purple slider before getting ready to activate the device as this can result in partial expulsion of the implant. • After insertion, palpate the implant and, after applying The Product Information for IMPLANON NXT has been updated as of January 20201. The updated sections include those related to the site of insertion and the procedures for implant insertion and removal. This location is intended to avoid the large blood vessels and nerves lying within and surrounding the sulcus1 inserted Implanon® should be a simple procedure performed through a 2-3mm incision under local anaesthetic. Removal technique - refer to manufacturer's instructions/training course. 4.6 Management of women in whom Implanon NXT® is not palpabl

The needle was inserted until the bevel (slanted opening of the tip) was just under the skin (and. no further). -The applicator was then lowered to a horizontal position. While lifting the skin with the tip of the needle, the needle was inserted to its full length Insertion of Implanon NXT (a subdermal, long-acting progestogen-only hormonal contraceptive implant, effective for up to 3 years Keep the insertion site clean and dry. You may apply an ice pack for 1-2 hours following the procedure which will help with swelling. You may have some mild redness or bruising around the small insertion site, this is normal. Mild discomfort for up to 72 hours following the procedure is also normal. Infection is very rare

Insertion of Implanon is simple: the applicator needle is positioned subdermally and the cannula is withdrawn, leaving the implant rod in place. Implanon is removed using the 'pop out' technique, involving a 2-mm incision Insertion of contraceptive implant You can have a contraceptive implant inserted during a visit to your health care provider's office. The actual procedure takes just a minute or so, though preparation will take a bit longer Timing of insertion depends on the woman's recent contraceptive history, as follows: v No preceding hormonal contraceptive use in the past month Implanon NXT should be inserted between Day 1 (first day of menstrual cycle) and Day 5 of the menstrual cycle, even if the woman is still bleeding

Implanon NXT Insertion - YouTub

A deep insertion may cause problems with locating and removing the implant. Once the healthcare professional has located the implant, removal is recommended. If at any time you cannot feel the NEXPLANON implant, contact your healthcare provider immediately and use a non-hormonal birth control method (such as condoms) until your healthcare provider confirms that the implant is in place The whole procedure takes 30 minutes, but the insertion takes only about 5 minutes of this and the rest is preparation, anaesthetic time, and after care. Implanon NXT® is: Effective: 99.95% effective against pregnancy. The pill can be as low as 91%. Easy: Set and forget; no tablets to remember. Implanon NXT® lasts for 3 years How to insert Implanon NXT • Updated the implant insertion site (as described in How to use Implanon NXT). • Updated positioning for the woman's arm, which should be flexed at the elbow with her hand underneath her head (or as close as possible). • Updated insertion instructions and figures, and added new figures to aid the HCP t The contraceptive implant is a popular form of reversible long-acting contraception. Norplant, the first contraceptive implant, became available in 1983 but was later removed from the market owing to patient dissatisfaction with adverse effects that ultimately led to several lawsuits against the manufacturer MSD Implanon NXT Insertion & Removal Procedure Videos; Search This Toolkit. Enter terms . Print Toolkit; This website is made possible by the support of the American People through the United States Agency for International Development (USAID).

Jadelle insertion and removal Tutorial - YouTube

Learn More About Annovera (segesterone acetate & ethinyl estradiol vaginal system). Get Annovera Delivered To You. See Boxed Warning, Safety & Rx Information Implanon insertion requires a minor surgical procedure with a local anaesthetic injection. A small few mm scar may be visible. Side effects from the implants include irregular menstrual cycles with unpredictable bleeding, headaches, depression, breast pain, ovarian cysts, acne and weight gain. The side effects are minor and tend to diminish. Insertion and removal involves a small surgical procedure local anaesthetic. Th should be by a doctor trained in this procedure. insert i - and costs Is Implanon suitable for all women? What do I need to know about having an Implanon inserted? ® ® ® ® Y will with prior to insertion., ation is given to unexplained vaginal bleeding (thi The Implanon insertion procedure is quick and simple. Using a small flexible rod, a contraceptive implant is inserted under the skin of the upper arm. During the procedure, your arm is under a local anaesthetic. Who is Suitable for This illustrated job aid supports providers to conduct proper insertion of Implanon NXT implants, using the updated insertion site and technique from the 2020 label change. It serves as a quick reference that both indicates the supplies and instruments necessary, as well offers step-by-step visuals for conducting the procedure

Implanon NXT Insertion Video - English. A training video showing correct insertion procedures for Implanon NXT. File: implanonnxt_msd_insertionvideo2020_lores_english.mp4 (65.59M) MSD Implanon NXT Insertion & Removal Procedure Videos; Search This Toolkit. Enter terms . Print Toolkit Insertion and removal Insertion. Implanon is considered relatively easy to insert. The duration of the insertion procedure ranges from 1 to 5 min with a mean time of 1.1 min (Power, French, & Cowan, 2007). The sterile Implanon applicator comes fully assembled and prefilled with the ENG rod. Insertion is done using aseptic technique Insertion of Implanon® is a quick and simple procedure done by a doctor who has been trained in the technique, usually taking around 20-30 minutes. First, a local anaesthetic is injected in the insertion site to prevent discomfort, and once this has numbed the area, the doctor will then insert the device under the skin Methods. Implanon™ was inserted into 330 female volunteers for an assessment of efficacy, safety and tolerability over a 2-year period. Implanon™ was inserted subdermally using a unique, specially designed, preloaded, disposable applicator, and removal was accomplished either by the pop-out method or by grasping the implant with a small hemostat and removing it through a small incision Implanon NXT uses an improved insertion device. The ability to use x-ray detection can help providers locate the rod even if inserted so deeply into a woman's arm that it cannot be palpated

New advice regarding placement position for Implanon NXT

Nexplanon (etonogestrel) Implant/Insertion - Technique and

Implanon clients for allowing us to observe them during the Implanon insertion procedure. This work was made possible by the generous support of the American people through the U.S. Agency for International Development (USAID). The contents do not necessarily reflect the views of USAID or the United States Government The authors suggested that inadvertent placement into the basilica vein during the procedure or insertion into the deeper loose areolar tissue was a possible explanation. These 2 cases highlight a rare, but potentially life-threatening complication associated with Implanon insertion

IMPLANON™ (etonogestrel implant) is indicated for women for the prevention of pregnancy. IMPLANON™ is a long-acting (up to 3 years), reversible, contraceptive method. IMPLANON™ must be removed by the end of the third year and may be replaced by a new IMPLANON™ at the time of removal, if continued contraceptive protection is desired Per the Implanon web site they say you can bill either the 11975 or the 11981. Is it correct to bill the 11981 for this plan? Ask the representative if IMPLANON is covered. You may be asked to provide the following codes: NDC: 0052-0272-01 or 00052-0272-01 Billing code: J7307 Insertion procedure codes: 11981 or 1197 3 Implanon NXT® Contraceptif hormonal, sous-cutané, à action prolongée Implanon NXT peut être laissé en place pendant trois ans.Ne pas retirer l'implant plus de trois ans après la date d'insertion L'expérience clinique chez les femmes en surpoids au cours de la 3ème année d'utilisation est limitée. Il ne peut donc être excl Insertion Procedure. To help make sure the implant is inserted just under the skin, Deep insertions of IMPLANON have been associated with paraesthesia (due to neural injury), migration of the implant (due to intramuscular or fascial insertion), and intravascular insertion Implanon is a small flexible rod, inserted under the skin of the upper arm. McKinnon Hill Medical Centre doctors perform contraception and implanon insertion and removal in Brighton East, Caulfield South, and Moorabbin in Melbourne, VIC

News - Changes to the Implanon procedur

  1. utes, but the insertion and removal takes only about 10
  2. The insertion of Implanon NXT is not generally painful if performed with a local anaesthetic and only takes the time required for an injection. At the end of the insertion procedure,.
  3. A single procedure can be used to remove an old implant and put in a new one. The implant should be removed after 3 years even if you no longer require contraception. If a pregnancy occurs with an expired Implanon NXT® in place, then there is a small increased risk of the pregnancy implanting in the fallopian tube (ectopic pregnancy)
  4. This report describes the proper technique and the time required for insertion and removal of Implanon. Implanon was inserted into 330 female volunteers for an assessment of efficacy, safety and.
  5. istration; Expert tips . Implanon NXT® insertion and removal simulated practice on model arms will occur under supervision by experienced Implanon NXT® clinical educators

Nexplanon Insertion Procedure Note Time of Car

  1. 4.2.3 How to insert Implanon nxt [.] It is recommended that the HCP is in a seated position during the entire insertion procedure so that the insertion site and the movement of the needle just under the skin can be clearly seen from the side.
  2. Insertion procedure and technique differs between brands. Nexplanon: Radiopaque; may use X-ray, CT, ultrasound, or MRI to locate once implanted. Implanon: Nonradiopaque; may use ultrasound or MRI to locate once implanted. Confirm that the entire implant, which is 4 cm long, has been removed by measuring its lengt
  3. Insertion Procedure To help make sure the implant is inserted just under the skin, the healthcare professionals should be positioned to see the advancement of the needle by viewing the applicator from the side and not from abovethe arm. From the side view,the insertion site and the.
  4. imise the risk of bruising

Implanon is a hormone contained implant that inserted and kept under the skin. Once inserted it stays for three years. Our GPs who are trained to do such procedure will educate you about the implant, insertion/removal procedure. If you are a new patient, your GP will answer all your questions and will provide printed material for you to read at. The procedure used for Implanon insertion is opposite from that of an injection. The obturator keeps Implanon in place while the cannula is retracted. The obturator must remain fixed in place while the cannula with needle is retracted from the arm. Do not push the obturator. Insertion Procedure. Step 1 cases with intravascular insertion. Insertion of Implanon NXT should be performed under aseptic conditions and only by a qualified HCP who is familiar with the procedure. Insertion of the implant should only be performed with the preloaded applicator. Insertion Procedure Implanon is effective for 3 years and has a shelf life of 5 years. The implant is placed in the subcutaneous tissue of the upper arm with a 19-gauge disposable, preloaded inserter. The insertion is a minor surgical procedure performed in the office. Implanon was approved in July 2006 by the U.S. Food and Drug Administration (FDA) Implanon Removal Procedure Code Implanon removal procedure. Why I got Nexplanon (birthControl) Out and answers. Removal and reinsertion is calculated at 100% of the higher CPT code rate plus 50% of the lower CPT code rate. service code with modifier 25 in addition to the insertion procedure code is Etonogestrel Implant (Nexplanon). $35/device

Implanon Insertion / Removal Procedure. Both the insertion and removal of an Implanon requires a small surgical procedure performed under local anaesthetic. As an incision is made in the skin, you may end up with a small scar at the site of the implant. Very occasionally, it may be difficult to find and remove an implant after 3 years IMPLANON insertion procedure Immediately after the insertion, you and your health care provider will feel for IMPLANON to ensure that it has been placed correctly. If you can't feel it, contact your health care provider immediately and use a non-hormonal birth control method (such as condoms) until your health care provider confirms that the implant is in place N56: Procedure code billed is not correct/valid for the services billed or the date of service billed; These are non-covered services because this is a routine exam or screening procedure done in conjunction with a routine exam. We use 11981 for the insertion of Implanon and have no problem getting it paid Women who cannot use hormonal contraception containing estrogen have a variety of progestin-only contraceptive methods from which to choose. Implanon is a new single-rod progestin-only contraceptive implant that is easily inserted and can remain in place for up to 3 years. It is highly effective with a rapid onset of action and an equally rapid return of fertility once removed

Insertion and removal procedures for Implanon; Iris education recommends that participants ensure they are confident in this procedure before commencing insertion and removal in practice. Additional supervision should be arranged if there is remaining uncertainty. Enrol: Click her Actual Implanon insertion in my arm Before the insertion, the health care professional or doctor will screen you for any health conditions that may be contraindicated to the Implanon. Once you are eligible, they will perform the procedure with a local anesthesia injected before the implant The timing of the Implanon implant insertion must be done according to the patient's recent history, as follows: If no preceding hormonal contraceptive use in the past month, the implant must be inserted between Days 1 through 5, (counting the first day of menstruation as Day 1), even if the woman is still bleeding office. There is a slight risk of getting a scar or an infection from this procedure. NEXPLANON should not be deeply inserted. An implant that is inserted deeply may have been placed in muscle tissueor,inrare instances, a blood vessel. A deep insertion may cause the implant to move beyond the implant site Implanon Insertion and removal is available at the practice. What is Implanon? Implanon is a hormone implant used as contraception. The implant is small, the size of a matchstick. It is usually placed under the skin in the non dominant arm. A pre insertion consult with your GP is always needed. How long does the contraception implant work

In procedure room Implant insertion and consent forms Povidone-iodine or chlorhexidine in cup with swabs Anesthesia for insertion site: Spray-on anesthesia Or 2 cc 1% lidocaine with 25 gauge x 1.5 needle and syringe Nexplanon package Marker Gauze 4 x 4 (sterile) Adhesive and pressure bandages. For Nexplanon removal . In procedure roo Implanon NXT insertion process. Performed by Dr. Gellineau (Dr. G) This rod is the size of a match stick and it sits just under the skin in the upper arm. It releases tiny amounts of progesterone which thickens the cervical mucus preventing sperm to pass. One of the BEST forms of birth control. Implanon NXT (3years) - $260 1.. IntroductionThe contraceptive implant Implanon contains 68 mg etonogestrel which is released from a single device inserted into the upper arm .Clinical trials performed during the development of Implanon reported no pregnancies; at the end of 1998, data were available for 4103 woman-years (over 53,000 treatment cycles) resulting in a Pearl Index of 0.0 (95% CI, 0.0-0.09)

Implanon NXT insertion june 2011

The Implanon is inserted and removed under a local anaesthetic as a small incision is required. This takes as quick as one minute and may leave a very small scar. The procedure of insertion and removal of the implant must be performed by a doctor or nurse who is familiar with these techniques Procedure: Insertion (<5 minutes) No incision needed; Nexplanon comes inn Preloaded applicator; Inserted into subcutaneous skin of arm; Both patient and physician must palpate rod post-insert; Procedure: Removal (<10 minutes) Infiltrate local Anesthetic under Implanon; Incision of 2-3 mm at distal tip of Implanon; Nexplanon pushed from proximal. Implanon Insertion. We have doctors trained in Implanon insertion. Please make an appointment with your doctor to discuss Implanon - we can then arrange a suitable appointment time for the procedure. Practice News. Please WEAR A MASK when you enter the practice. Please PHONE (do not book online) if you have a cough,. Subcutaneous Medication Implant: Insertion (Adult, Peds) 7 4. Advanced Health Practitioner will perform the procedure three times under direct supervision. 5. Supervising physician will document Advanced Health Practitioner's competency prior to performing the procedure without direct supervision. 6

Video: Implanon - Post Insertion Instructions The Cedar City

Insertion and removal of Implanon: practical consideration

The insertion of Implanon NXT is not generally painful if performed with a local anaesthetic and only takes the time required for an injection. To help you remember when and where Implanon NXT was inserted, and when Implanon NXT must be removed at the latest, your healthcare professional will give you a User Card that shows this information Implanon is a popular birth control device that our women's health Doctors provide to patients, including insertion, removal and after care support. Lasting for up to three years, Implanon is a small plastic rod of 4cm placed under the skin of the upper arm. It contains a progestogen hormone that slowly releases into the blood stream

Implantable Contraception | GLOWM

Implanon is a contraceptive implant. It is a 4cm long and 2mm in diameter non-biodegradable rod containing 68 mg of a synthetic hormone similar to progestero.. Only around 1 in 3,000 sexually active women using the implant will become pregnant each year, often because they were actually pregnant at the time of insertion. This is the lowest contraceptive failure rate of any method, including sterilisation (male or female). In fact in most studies of the implant, no women became pregnant at all The Implanon implant is a single-rod Norplant-like birth control device about the size of a toothpick implanted by a certified physician under the skin in a women's upper arm. The insertion process is a simple, painless procedure that is done in the office and takes but a few minutes

Implanon NXT Insertion & Removal Training Course for Registered Nurses & Midwives This is general information only, you should speak to your doctor for advice and further instruction. Last updated: 28 June 201 Complications of Insertion and Removal IMPLANON procedure, such as pain, paresthesias, bleeding, hematoma, scarring or infection, have been reported. Occasionally in post-marketing use, implant insertions have failed because the implant fell out of the needle or remained in the needle durin Develop contraceptive implant insertion and removal skills and improve your understanding of counselling, assessment and complications.The Contraceptive Implant (Implanon NXT) Training for Doctors is an interactive session, incorporating theoretical instruction and simulated practical application FPnotebook.com is a rapid access, point-of-care medical reference for primary care and emergency clinicians. Started in 1995, this collection now contains 6916 interlinked topic pages divided into a tree of 31 specialty books and 737 chapters

Contraceptive implant - Mayo Clini

emptied. If the Implanon is not palpable this may be due to failed insertion, deep insertion or, very rarely, migration of the device. Migration has been reported in Implanon trials following pushing during the insertion procedure. Ultrasound imaging using a linear high-frequency probe preferably by an experienced ultrasonographer ma The birth control implant (AKA Nexplanon) is a tiny rod about the size of a matchstick. The implant releases hormones into your body that prevent pregnancy. An older version was called Implanon implanon pain in arm after insertion A 17-year-old female asked: my arm is stinging when i move it near the insertion of my nexplanon i got it done yesterday. is this normal, also it's bumpy and feels a little weird Implanon Insertion and Removal. Overview; Please ensure that you discuss any of the potential risks, complications and what to expect before or after the procedure. Please book an appointment with one of our qualified GPs before scheduling a procedure. Private fees will apply

Implanon (Etonogestrel Implant): Side Effects

Implanon guideline 2017 - SlideShar

Insertion of contraceptive implant. The contraceptive implant is inserted beneath the skin of the upper arm. The implant releases a progestational hormone to prevent sperm from reaching the egg. The implant typically suppresses ovulation as well Other important information for referring practitioners. General Practitioners are able to refer women who live in the RBWH catchment to RBWH for etonogestrel implant (Implanon NXT®) insertion for contraception. A General Practitioner with Special Interest is employed one (1) day per week in the RBWH Women's Day Therapy Unit for this procedure Insertion of Implanon NXT can only be performed by medical personnel trained to insert this implant. If the implant is inserted deep into the skin, surgical intervention may be required. Sometimes infection may occur at the insertion site Implanon is one of the most popular forms of hormonal contraception currently being used by women. This is because it's cost effective, low risk and one of the safest forms of contraception available. Though like many contraceptive options, it suits some women and not others. For those who are. What do I need to know about having an Implanon inserted? Insertion and removal involves a small surgical procedure with local anaesthetic. This should be done by a doctor trained in this procedure. Prior to insertion, an assessment of your medical history and suitability for this method will happen

What’s New in Contraception?

Implanon is a single-rod subdermal contraceptive that is usually easily inserted and removed. Insertion and removal represent brief office procedures associated with a low rate of complications. Following proper insertion and removal procedures will minimize the possibility of complications Your Implanon Insertion, Replacement, or Removal Appointment: You will need to collect your new Implanon from the Pharmacy, and bring it with you to your appointment. Your General Practitioner will discuss the procedure with you. A Practice Nurse may assist your General Practitioner with the procedure Implanon use, to select appropriate users and to correctly time insertion of the implant. The technique of insertion, although simple, is different from that used with other hormone implants and needs to be learned by all doctors before they attempt their first insertion. Correct superficial placement of the rod ensures easy removal in the future

IMPLANON - etonogestrel implant - Prescription (RX

Contraceptive Implant Placement Technique: Nexplanon

to using Implanon. How is the Implanon Placed in My Arm? The insertion of the Implanon is a simple office procedure. Your provider will want to make sure that you are not pregnant. It is important that you continue to use birth control before you have your appointment for the Implanon insertion Etonogestrel is a medication which is used as a means of birth control for women. It is available as an implant placed under the skin of the upper arm under the brand names Nexplanon and Implanon, and in combination with ethinylestradiol, an estrogen, as a vaginal ring under the brand names NuvaRing and Circlet. Etonogestrel is effective as a means of birth control within 8 hours of insertion. However, if the insertion procedure was not performed according to label instructions (e.g., wrong insertion site, In addition, inexperienced investigators were not to be supervised by those experienced with Implanon insertions. Investigators who performed at least one insertion were included in the applicator user (AU) group

implanon insertion - YouTub

Nexplanon insertion procedure on patient name: _____ at Girls to Women Health and Wellness on the right / left inner upper arm. I further authorize the physician and assistants to do any other procedure that in their judgment may be necessary or advisable should unforeseen circumstances arise during the procedure Implanon (etonogestrel) is a contraceptive used to prevent pregnancy. What Are Side Effects of Implanon? Common side effects of Implanon include. in which investigators were asked to examine the implant site after insertion, implant site reactions were reported in 8.6% of women. Erythema was the most frequent implant site complication,. With gentle traction on the tenaculum, the IUD was inserted to the appropriate depth and deposited by withdrawing on the insertion tube holding the rod steady. The string was cut to an estimated 4 cm length. Bleeding was minimal. The patient tolerated the procedure well Assessment of Implanon insertion and removal. Contraception 2008; 78:409. Mascarenhas L. Insertion and removal of Implanon: practical considerations. Eur J Contracept Reprod Health Care 2000; 5 Suppl 2:29. Bensouda-Grimaldi L, Jonville-Béra AP, Beau-Salinas F, et al. [Insertion problems, removal problems, and contraception failures with Implanon]

Implanon Insertion. Implanon NXT is a contraceptive implant preloaded in a disposable applicator. The implant contains 68 mg of the active substance etonogestrel. The actual procedure takes just a minute or so, though preparation will take a bit longer To complete the ACRRM Implanon NXT training there will be an additional 90 minute session with an ACRRM fellow who is experienced using the device and is an endorsed Implanon clinical educator. An Implanon insertion training kit will be posted to you for the online practical session

Contraceptive Implant Procedure - St

A contraceptive implant is an implantable medical device used for the purpose of birth control.The implant may depend on the timed release of hormones to hinder ovulation or sperm development, the ability of copper to act as a natural spermicide within the uterus, or it may work using a non-hormonal, physical blocking mechanism.As with other contraceptives, a contraceptive implant is designed. Implanon insertion. Builth & Llanwrtyd Medical Practice. February 13, 2010 · Inserting a contraceptive implant - Implanon Related Videos. 0:09. #NHS #stay home #savelivrs. Builth & Llanwrtyd Medical Practice Case. A woman aged 26 years was referred to interventional radiology for removal of an impalpable contraceptive implant (Implanon NXT) device. The device had been inserted three years prior by a general practitioner (GP), and the patient recalled that it was palpable immediately after insertion Insertion Procedure. Step 1. Have the woman lie on her back on the examination table with her non-dominant arm flexed at the elbow and externally rotated so that her wrist is parallel to her ear or her hand is positioned next to her head (Figure 1). (IMPLANON) (11.1% of women) Intraoperative fracture of bone during insertion of orthopedic implant, joint prosthesis, or bone plate; Type 2 Excludes. complication of internal orthopedic devices, implants or grafts ; ICD-10-PCS Procedure Code 0DH. Insertion. ICD-10-PCS Procedure Code 0FH. Insertion. ICD-10-PCS Procedure Code 0GH. Insertion. ICD-10-PCS Procedure Code 0HH.

Nexplanon (Etonogestrel Implant): Side Effects

Implanon is inserted into the woman's upper arm in a procedure in the doctor's office. The skin is numbed before insertion. Once Implanon is inserted, the doctor must check to be sure the implant is in place by feeling for it. After insertion, the woman must keep the area bandaged for three to five days while the site heals

Weight Gain: Implanon Gain Weight
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