The unintended adolescent pregnancy rate has seen a 51% decrease from 1990–2010 in the United States, with the primary driver of this decline being improved hormonal contraceptive use. While this trend is encouraging, adolescents and young adults (AYA) still lack access to youth-friendly care to initiate and continue contraception use, leading to adolescent use of less effective methods of contraception for pregnancy prevention. Adolescents and young adults face unique and significant external (e.g. economic, logistic) and personal barriers to accessing and using contraception. These external barriers intertwine with personal barriers of knowledge, confidentiality concerns, partner involvement, and normative beliefs.