Ischemic stroke and the use of etonogestrel implant on adolescent

BackgroundThere is few scientific evidence of good quality on the relationship between an ischemic stroke and isolated use progestins. In general, it does not suggest elevation this risk. The World Health Organization (WHO) classifies continuation etonogestrel implant as category 3 if event occurred while using it.CaseFemale patient, 16 years old, initiated with headache, hemiparesis, lip rhyme deviation dysarthria. A brain resonance confirmed areas ischemia located in cerebellum midbrain. (Figure 1). Had been for 4 months. Investigation thrombophilias was realized a positive result Factor V Leiden.SummarySystematic revision association venous or arterial thrombosis progestins did find event's risk women utilizing without other factors. Nonetheless, implant's description leaflet describes post-commercialization reports severe events, indicating removal these cases. Thus, maintenance post thrombotic off-label. These facts point towards necessity more studies subject since method highly effective during adolescence.Figure 1. Resonance demonstrating There it. Female Leiden. Systematic adolescence. Figure Tepper NK, Whiteman MK, Marchbanks PA et al: Progestin-only contraception thromboembolism: systematic review. Contraception 2016; 94:6782. Curtis KM, Jatlaoui TC, U.S. medical eligibility criteria contraceptive use. MMWR Recomm Rep 65:13. Lidegaard O, Lokkegaard E, Jensen a:. Thrombotic Stroke Myocardial Infarction Hormonal Contraception. N Engl J Med 2012; 366:2257