Abstract
To the Editor: Long-acting contraceptives are used by 10.4% of American women aged 15 to 49 years, often in the form of hormonal implanted intrauterine devices (IUDs), which use levonorgestrel to prevent pregnancy.1 Levonorgestrel is androgenic and may play a role in diseases and symptoms influenced by androgens.2 IUDs are associated with cases of new and worsening acne vulgaris, but no levonorgestrel-specific risk of adverse dermatologic conditions has been established.3,4 This study aimed to evaluate the associations between hormonal IUDs and adverse dermatologic events.
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