Etonogestrel contraceptive implant-associated secondary anorgasmia. Academic Article uri icon


  • UNLABELLED: The etonogestrel contraceptive implant is a 4-cm radio-opaque subdermal rod, inserted in the nondominant arm, providing up to 3 years of continuous contraception. We describe a 21-year-old nulligravid, nondepressed female who experienced new-onset secondary anorgasmia 1 month after etonogestrel insertion. Off-label, oral use of bupropion and sildenafil did not restore orgasmic ability. Finally, 1 week after implant removal (4 months after insertion), spontaneous return of orgasmic ability occurred. Anorgasmia after etonogestrel implant use is a rare adverse event; nonetheless, clinicians should be alert to its possibility. IMPLICATION STATEMENT: This report documents secondary anorgasmia in a nondepressed female temporally associated with etonogestrel implant insertion. Clinicians should be aware that this rare event can occur but is quickly reversible with implant removal.

published proceedings

  • Contraception

altmetric score

  • 1.85

author list (cited authors)

  • Chapa, H. O., Ramirez, A., & Dawson, D.

citation count

  • 6

complete list of authors

  • Chapa, Hector O||Ramirez, Alexiya||Dawson, Daniel

publication date

  • January 2017