Etonogestrel contraceptive implant-associated secondary anorgasmia
2017; Elsevier BV; Volume: 96; Issue: 4 Linguagem: Inglês
10.1016/j.contraception.2017.06.008
ISSN1879-0518
AutoresHector O. Chapa, Alexiya Ramirez, Daniel G. Dawson,
Tópico(s)Sexuality, Behavior, and Technology
ResumoThe etonogestrel contraceptive implant is a 4-cm radio-opaque subdermal rod, inserted in the nondominant arm, providing up to 3 years of continuous contraception. We describe a 21-year-old nulligravid, nondepressed female who experienced new-onset secondary anorgasmia 1 month after etonogestrel insertion. Off-label, oral use of bupropion and sildenafil did not restore orgasmic ability. Finally, 1 week after implant removal (4½ months after insertion), spontaneous return of orgasmic ability occurred. Anorgasmia after etonogestrel implant use is a rare adverse event; nonetheless, clinicians should be alert to its possibility. Implication statement This report documents secondary anorgasmia in a nondepressed female temporally associated with etonogestrel implant insertion. Clinicians should be aware that this rare event can occur but is quickly reversible with implant removal.
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