Pulsatile tinnitus related to progestin from intrauterine device.

Patients with pulsatile tinnitus (PT) should be evaluated with different criteria than those suffering sensorineural tinnitus, as this feature suggests, in most cases, a specific etiology (Table 1). The most common cause of vascular PT is atherosclerotic disease due to endovascular flow changes, passing from a laminar to turbulent state and generating the sound perceived by the patient.1,2 The use of contraceptive methods has become popular, and the side effects of hormone exposure should always be considered.3 The aim of this study is to report the case of a female patient who had pulsatile tinnitus related to a progestin (levonorgestrel)-containing intrauterine device.