Purpose: Contraceptive satisfaction may influence not only contraceptive use, but long-term engagement in care. We investigated the extent to which adolescent and young women's desired contraceptive features are associated with their current contraceptive method, and if the presence of preferred features in their current method is associated with satisfaction. Methods: We performed a secondary analysis of a cross-sectional survey at 5 Northern California family planning clinics, including women ages 13-24. Descriptive statistics and multivariate logistic regression identified associations between desired features and sociodemographic characteristics. Multivariate logistic regression was used to examine associations between desired features and current contraceptive method, as well as the presence of desired features and satisfaction with current method.