Treatment of Unacceptable Bleeding Patterns in ETG Implant Users With an Oral Contraceptive

Inclusion Criteria: * Women who have an ETG implant in place * Women who subjectively experience the side effect of an undesirable bleeding profile such as bleeding irregularity or heavy flow after ETG implant was placed and who desire intervention for this side effect by either treatment of bleeding or removal of the implant * Age 14 years an older, inclusive Exclusion Criteria: * Irregular or heavy bleeding from an etiology other than ETG use (e.g. fibroids, cervical polyp, or other organic cause of bleeding) * Has attempted prescription treatment for menstrual side effects while using ETG implant * Has one or more of the conditions considered Category 3 (risks outweigh benefits) or Category 4 (unacceptable health risk) for estrogen-containing oral contraceptives by the Center for Disease Control Medical Eligibility Criteria for Contraceptive Use: * Current or history of heart or vascular diseases, including deep venous thrombosis, pulmonary embolism, known thrombogenic mutations, peripartum cardiomyopathy, and complicated valvular heart disease * Hypertension, even if adequately controlled * Diabetes with vascular involvement * Headaches with focal aura, or migraines in women age 35 and older even without focal aura * Major surgery with prolonged immobilization * Breast cancer (current or past) * Severe (decompensated) cirrhosis * Acute or flare viral hepatitis * Breastfeeding less than 1 month postpartum * Post-partum less than 3 weeks * 35 years…