Contraceptive Choice in Adolescents: Perception and Acceptance of the Etonogestrel Implant

• DOI: https://doi.org/10.22533/at.ed.1594892401103

• Palavras-chave: Etonogestrel Implant; Adolescent Contraception; Long-Acting Reversible Contraceptives.

• Keywords: Etonogestrel Implant; Adolescent Contraception; Long-Acting Reversible Contraceptives.

• Abstract: INTRODUCTION The introduction explores adolescent contraceptive needs and preferences, focusing on the rise of long-acting reversible contraceptives (LARCs), particularly the etonogestrel implant. The text discusses global trends in contraceptive use, the role of healthcare providers in counseling adolescents, and the importance of addressing social, cultural, and psychological factors that influence contraceptive decisions. OBJETIVE To analyze the perception, acceptance, and barriers related to the use of the etonogestrel implant among adolescents, highlighting factors such as social influences, access, and long-term continuation rates. METHODS This is a narrative review which included studies in the MEDLINE – PubMed (National Library of Medicine, National Institutes of Health), COCHRANE, EMBASE and Google Scholar databases, using as descriptors: “Etonogestrel Implant” AND “Adolescent Contraception” OR “Long-Acting Reversible Contraceptives” OR “Contraceptive Access” OR “Reproductive Autonomy” in the last  years. RESULTS AND DISCUSSION The results examine adolescent contraceptive use patterns, showing how provider recommendations, peer influences, and educational programs affect acceptance of the etonogestrel implant. The section highlights barriers to access, including socioeconomic and cultural factors, and evaluates continuation rates, side effect concerns, and the psychological impact of the implant on adolescents. CONCLUSION The conclusion emphasizes the benefits of the etonogestrel implant as a reliable contraceptive option for adolescents but underscores the need for improved access, better counseling, and continued efforts to reduce stigma. It calls for public health initiatives to promote informed decision-making and equitable access to long-acting contraceptives, with an eye toward future innovations in reproductive healthcare for adolescents.