Background: Understanding the factors influencing contraceptive decision-making among young women is crucial for promoting informed choices and improving reproductive health outcomes. The aim of this research was to gain insight on decision-making surrounding contraceptive choices by looking at the lived experiences of young adult females. Method: A qualitative interview study was conducted with five participants, all individuals with female reproductive organs, aged 20-22, initiating contraception between January 2023 and January 2024. Three chose IUDs, one a vaginal ring, and one oral birth control pills. Results: The study identified five overarching themes: reasons for initiating contraception, characteristics of contraception, provider influence, social influence and societal perceptions, and insertion experience (for participants with an IUD). Attributes of the contraception method like convenience, invasiveness, and effectiveness significantly influenced decision-making. Participants cited reasons such as menstrual symptoms and sexual activity for initiating contraception. Provider influence, including relations and education, and social factors such as peer and family influence, were also important in the participants’ decision-making. Emotional and painful experiences, particularly during IUD insertion, were influential in the participants’ experiences initiating contraception. Conclusion: The study highlights the influences and factors that affect young women’s decision-making regarding contraception. The study emphasizes the need for patient-centered care, personalized counseling, shared decision-making, and comprehensive contraceptive education. By addressing these factors, healthcare providers and nurses can enhance their approach to patient education and contraceptive counseling, ultimately improving the contraceptive experience and reproductive health outcomes among young women. Key Words: contraceptive decision-making, young women, reproductive health, patient-centered care, patient education
Abigail Poe (Sun,) studied this question.