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Side effect expectations, experiences, and implant continuation and satisfaction among adolescents and young adults
Brooke W Bullington1, Gentry Carter1, Sarah Elliott1
1Division of Family Planning, Department of Obstetrics & Gynecology, University of Utah, Salt Lake City, UT, USA.
Objective:
We compared adolescents' expectations and experiences of side effects with the contraceptive implant and examined if mismatches were associated with continuation or satisfaction over one year.
Methods:
Adolescents and young adults (aged 15-24) initiating the implant at two clinics in Utah completed a baseline survey rating expected side effects and follow-up surveys assessing experienced side effects, current use, and satisfaction. We assessed (mis)alignment between side effect expectations and experiences, and examined whether it was associated with implant dissatisfaction and discontinuation.
Results:
Satisfaction and continuation were high. Most participants expected and experienced side effects. Expectation-experience misalignment was not associated with implant dissatisfaction or discontinuation.
Discussion:
Unexpected negative side effects did not drive implant discontinuation or dissatisfaction.
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