Key result
A 41-year-old woman with multiple cardiovascular risk factors developed bilateral pulmonary embolism after four years of using an etonogestrel progestogen-only implant.
Why the study?
Pulmonary embolism is a recognized complication of hormonal contraceptive use, but the risk associated with progestogen-only implants in women with multiple cardiovascular risk factors remains uncertain.
Does the use of a progestogen-only implant increase the risk of pulmonary embolism in women with multiple cardiovascular risk factors?
Case Report (n=1)
Does the use of a progestogen-only implant increase the risk of pulmonary embolism in women with multiple cardiovascular risk factors?
This case highlights the potential increased risk of pulmonary embolism in women with multiple cardiovascular risk factors using progestogen-only implants, warranting cautious clinical decision-making.
Alerts to possible PE risk with progestogen-only implants in high-CV-risk women; hypothesis-generating and requires confirmation in larger studies.
Pulmonary embolism (PE) is a recognized complication of hormonal contraceptive use, but the risk associated with progestogen-only implants in women with multiple cardiovascular (CV) risk factors remains uncertain. We present the case of a woman in her early forties with multiple CV risk factors, including obesity, obstructive sleep apnoea, and hypertension, who developed bilateral PE while using a progestogen-only implant. This case highlights the potential increased risk of PE in women with multiple CV risk factors using progestogen-only implants, warranting further investigation and cautious clinical decision-making.
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Owolabi et al. (2024) conducted a case report in Pulmonary embolism (n=1). Etonogestrel implant (progestogen-only implant) was evaluated on Development of pulmonary embolism. A 41-year-old woman with multiple cardiovascular risk factors developed bilateral pulmonary embolism after four years of using an etonogestrel progestogen-only implant.
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