TY - JOUR T1 - Implant and adolescents JF - BMJ Sexual & Reproductive Health JO - BMJ Sex Reprod Health DO - 10.1136/bmjsrh-2020-200631 SP - bmjsrh-2020-200631 AU - Elise D. Berlan Y1 - 2020/07/01 UR - http://jfprhc.bmj.com/content/early/2020/07/28/bmjsrh-2020-200631.abstract N2 - Key messagesAdolescents’ social networks are key sources of information about contraceptives. A friend’s personal experience, especially a negative one, can heavily influence an adolescent’s contraception decision-making.Young people value receiving information about contraceptives and the endorsement of a method by a healthcare professional.The incidence of difficult removals, migrations and device location failures for Nexplanon is exceedingly rare. Removal of non-palpable implants should be done by skilled specialists.Kristy, a 17-year-old girl, presents to clinic, having previously had a discussion of her contraceptive options with you. She is sexually active with her boyfriend and does not want to become pregnant. She feels that an implant would suit her and wishes to discuss it further as she has some concerns. Her friend had an implant, but when she requested a removal, she had to be referred to a specialist as the implant was impalpable. Her friend’s experience is putting Kristy off and she doesn’t really understand how it could have happened.Kristy’s interest in the etonogestrel contraceptive implant has been challenged by her friend’s negative experience. Close personal contacts are adolescents’ primary source of information about contraceptives.1 2 Secondhand experiences with negative side effects are prevalent and weighted more heavily in contraception choice than positive experiences.1 2 An adolescent considering the use of a device may be especially concerned about physical harm to the body.Fortunately, contraceptive counselling and the endorsement of a method … ER -