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To determine the safety of etonogestrel contraceptive implant use among reproductive-age women who are solid organ transplant recipients. We conducted a retrospective cohort study with matching of reproductive-age women (14-45 years) who were solid organ transplant recipients and received care at a tertiary medical center in Denver, Colorado between 2011 and 2019. We identified cases who used an etonogestrel contraceptive implant post-transplant and then matched controls (no hormonal contraceptive use) in a 11 ratio according to age, tr