An Unusual Side Effect of Etonogestrel Implant: Facial Paralysis

İkbal KAYGUSUZ, İlknur İNEGÖL GÜMÜŞ, Alevtina ERSOY, Aydın KOSUS, Serap SİMAVLI, Hasan KAFALI, Nilgün ÖZTÜRK TURHAN

Ankara, Turkey

Etonogestrel single rod subdermal implant provides an effective contraceptive protection for up to 3 years with no reported pregnancies in clinical trials Unfortunately, similar to other long-term progestinonly contraceptives, Implanon® leads to irregular uterine bleeding in the majority of users. Bleeding disturbances are the main reason for discontinuation of therapy. Other reported nonmenstrual adverse effects of Implanon® include headache, acne, weight gain, and mastalgia. In this paper we do report a case of facial paralysis during the use of Implanon®.
A 35-year-old woman with an Implanon® contraceptive device in situ presented with amenore. The implant had been inserted 4 years previously which was changed one year before the removal. Because of the patient being amenorrhoeic for one year, the Implanon® was removed in January 2010. A few months later after the removal of the implant she reported an improvement of the facial paralysis that had started 4 months after the second insertion of Implanon®.
Key Words: Implanon, Etonogestrel, Facial paralysis.



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