“…Given the effectiveness of this method relative to user requirements and the high rates of user satisfaction at the 3-and 6-month follow-up, this is particularly disappointing. One-year continuation rates have been reported to be between 32% and 45% among nonparenting adolescent samples [16,17], whereas 6-month reported rates in nonpostpartum adolescent samples range between 63% and 70% [17,18]. As expected, among those who discontinued, the most frequently reported side effects leading to their discontinuation were irregular menstrual bleeding, weight gain, and breaking up with their partners.…”