Incidence of Androgenic Dermatologic Side Effects Following Placement of a Levonorgestrel Intrauterine Device for Menorrhagia: A Survey-Based Study

The study investigated the incidence of dermatologic side effects, such as acne, alopecia, and hirsutism, in women using a levonorgestrel intrauterine device (LNG-IUD) for menorrhagia. A survey was sent to 206 patients, with 51 (25%) responding. Results showed a significant increase in acne severity, with 35% reporting worsened acne, 4% improved, and 61% no change. There was no significant association between LNG-IUD use and alopecia or hirsutism, although 20% reported worsened hair loss and 41% noted excess facial hair. The study highlighted a higher rate of acne exacerbation compared to initial studies, suggesting that this adverse effect should be discussed with patients considering LNG-IUD. Limitations included nonresponse and recall bias, as well as a small sample size.