In Reply.

Competing Interests: Financial Disclosure Alisa Beth Goldberg disclosed that money was paid to her institution from Merck and to her directly from UpToDate. Isabel Fulcher received payment as a statistical consultant at Planned Parenthood League of Massachusetts. Jennifer Fortin is employed by Planned Parenthood League of Massachusetts. Rebecca Hofer disclosed that she was employed as a research assistant during the time of the study. She received an hourly wage from Planned Parenthood, including for work related to the study discussed as well as for other studies. She is no longer employed there and received no compensation for reviewing and contributing to the manuscript. In addition, she owns a number of different independent stocks and mutual funds that she has had for many years prior to the current work. These were purchased by her and her family and are not related to the current research. Alex Cottrill disclosed that the original study the Letter to the Editor addresses was funded by a grant paid to the authors' institution from the Society for Family Planning Research Fund. Dr. Cottrill was employed full-time by Planned Parenthood League of Massachusetts (where this study was based) during the 36 months before the original submission. Dr. Cottrill's salary was partly funded by our SFPRF grant during that time. Dr. Cottrill is still on the payroll at PPLM per diem but has not been paid through that grant since. Daniele Roncari received payment from Organon as a trainer for Nexplanon. The other authors did not report any potential conflicts of interest.