A 27-year-old woman has had an etonogestrel implant for 2 years. She develops acne that she finds distressing. She wishes to keep the implant for cont...

Question

A 27-year-old woman has had an etonogestrel implant for 2 years. She develops acne that she finds distressing. She wishes to keep the implant for contraception. What treatment can be offered alongside the implant?

Accepted Answer

Topical acne treatments (benzoyl peroxide, retinoids) or systemic treatments (antibiotics) can be used alongside the implant. A CHC could be added for its anti-androgenic effect, though this is off-label

Answer

No treatment is possible while the implant is in situ

Answer

Only removing the implant will resolve the acne

Answer

She must stop the implant and start co-cyprindiol

Answer

Isotretinoin is the only option

uk-dfsrh MCQ (SBA): Acne Management Alongside Implant

A 27-year-old woman has had an etonogestrel implant for 2 years. She develops acne that she finds distressing. She wishes to keep the implant for contraception. What treatment can be offered alongside the implant?