Ectopic Pregnancy After Removal of Levonorgestrel Implants: a Review of Two Case Series in a Resource Low-setting in Sub-Sahara Africa

Background: Contraception has been practice in the last few decades in order to prevent unwanted pregnancies and to safe women from criminal abortions and its complications.Case presentation: We report 2 cases of ectopic pregnancies diagnosed at 8 and 7 weeks of amenorrhea   after the removal of levonorgestrel – containing implants in two females 28 and 32 years old respectively. The ectopic pregnancies occurred between 4-6 weeks following the removal of the implants. The patients were both manged with laparoscopy in Douala general hospital.Conclusion:  Due to the limited data on the relationship between progestin implants and ectopic pregnancy, the authors advise that, after removal of the implants patients should not have unprotected sexual intercourse for about three months so as to allow ciliary functions to return to normal.