Although continuation rates and user satisfaction with LARC methods are high, a common reason for discontinuation is unfavorable bleeding patterns. Here, with an eye toward improved patient counseling, we examine recent data on bleeding rates with 3 hormone-releasing IUDs, discuss how early bleeding patterns with the etonogestrel implant correlate with long-term patterns, and address how postpartum timing of etonogestrel implant insertion might—or might not—impact bleeding patterns.