alopecia, and hirsutism and result from the excess stimulation of the pilosebaceous unit. A
synthetic progestin, levonorgestrel, is a methyl testosterone derivative. When orally
administered, it has been associated with acne, with a reported incidence between 5% and
20%. 1 In contrast, given its localized effect, a levonorgestrel intrauterine device 52 mg (LNG-
IUD) produces lower systemic levels of progestogens than with oral administration and …