In the study, 28.5% of the adolescents and young adults experienced worsening acne after insertion of a progestin-only long-acting reversible contraceptive, and 17% reported acne as a new concern.
Progestin-only LARC may increase the risk for acne, but this has not been well studied in adolescents and young adults.
In the study, researchers evaluated the incidence of acne, acne as a reason for removal, and strategies used to manage acne after insertion of a progestin-onlyimplant in 1319 adolescents and young adults across four Adolescent Medicine LARC Collaborative study sites from January 2017 to June 2021.The mean age at insertion was 18.6 years.
Only 44 of the 376 participants who reported worsening acne were being treated with an oral agent at follow-up. Of the 542 individuals who had the LARC device removed, 40 cited concerns about acne for removing the device, although just 5 said that acne was the only reason for removal. Of the 40 with concerns about acne when the device was removed, 18 had documented acne at the time of insertion.
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