Footnotes

• Editor"s note The details of this case are fictitious. Any resemblance to actual persons, living or dead, or actual events is coincidental.

• Twitter @EliseBerlanMD

• Funding The author has not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

• Competing interests EDB is a consultant to Merck and Bayer and is a Nexplanon Clinical Trainer.

• Patient and public involvement Patients and/or the public were not involved in the design, or conduct, or reporting, or dissemination plans of this research.

• Provenance and peer review Commissioned; externally peer reviewed.