Overview
To compare rates of etonogestrel implant discontinuation in implant initiators who are given advance provision of combined oral contraceptive pills (COCs) and a bleeding rescue regimen (COCR intervention) to participants given standard counseling (comparator).
Description
- Objective
To compare rates of etonogestrel implant discontinuation in implant initiators who are given advance provision of combined oral contraceptive pills (COCs) and a bleeding rescue regimen (COCR intervention) to participants given standard counseling (comparator).
Secondary Objectives:
To determine if participants initiating the contraceptive implant who are also provided COCR are more likely than participants receiving standard counseling to:
- report higher levels of satisfaction with their contraceptive implant at one year following initiation
- require less clinical follow-up and clinical resources in the year following initiation.
Eligibility
Inclusion Criteria:
- You are between ages of 14 to 22.9 years.
- Started etonogestrel implant for the first time and have never used the implant before.
Exclusion Criteria:
- There is any contraindication to estrogen containing birth control.
- Desire of pregnancy in next 12 months.
- Plans to move from the area in next 12 months and is not able to come to the clinic.