The etonogestrel (ENG) implant is a highly effective long-acting reversible contraceptive. Menstrual irregularities are often reported and may be an important factor for discontinuation. Studies examining hormonal interventions for bothersome bleeding show temporary effectiveness but have not looked at method continuation. Our objective was to determine if intervention for bothersome bleeding in adolescents results in fewer early ( < 1 year after insertion) removals, regardless of bleeding cessation.
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