Everyone is different, I have had mine done for over 20 years and it's never come out. I didn't even need to remove it during pregnancy. It's pretty easy to keep clean, just the same as ears. Basic cleanliness. never caught on jeans etc. My daughter got hers done at 16 and she never had an issue either, she just wore leggings for a couple of days in the worry of catching it but it was fine. Its the only piercing I have really liked and not removed x