Contraception for Adolescent and Young Adult Women by Amy Whitaker, Melissa Gilliam PDF

By Amy Whitaker, Melissa Gilliam

Forty-five percentage of youth a while 15-19 have had sexual activity. via age 19, seventy five% of all youth have had sexual activity. such a lot teens decide on condoms as their most desirable approach to birth control. the U.S. keeps to rank one of the optimum of all equally built international locations in premiums of adolescent being pregnant, and the accidental being pregnant cost is optimum between ladies a long time 20-24. the explanations for those public wellbeing and fitness records are myriad, yet a big factor is that teenagers and younger ladies use birth control erratically. therefore, there's a desire for early life to benefit approximately and use birth control continuously and successfully. regrettably, incorrect information abounds, even between practising clinicians. youth want a clinician who's brand new on scientific strategies relating to contraceptive care. The busy clinician wishes info at his or her fingertips, must understand how to create a teen-friendly surroundings and needs to express most sensible contraceptive counseling practices.

Gynecologists and first care practitioners (as good as relatives physicians, adolescent drugs physicians and pediatricians) are at the entrance strains in terms of discussing, recommending and prescribing contraceptive concepts to adolescent and younger women. This e-book is a useful source for those clinicians; it's the purely instruction manual out there on birth control for the adolescent and younger grownup girls and it really is full of evidence-based details in a simple to learn and simple to digest layout. now could be an optimum time for a publication of this type. The facilities for affliction keep watch over and Prevention simply accomplished a scientific instruction for contraceptive care according to the area well-being Organization’s scientific Eligibility standards (MEC). the U.S. MEC seeks to demystify contraceptive deal with all girls. It additionally lays the basis for aiding prone increase scientific perform in contraceptive care. Contraception for Adolescent and younger grownup Women will supplement those efforts in a fashion adapted to the original wishes of this population.

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E1–7. 31. Tocce K, Sheeder J, Python J, Teal SB. Long acting reversible contraception in postpartum adolescents: Early initiation of etonogestrel implant is superior to IUDs in the outpatient setting. J Pediatr Adolesc Gynecol. 2012;25:59–63. Chapter 3 Progestin-Only Contraception Romina L. Barral and Melanie A. Gold BACKGROUND Progestin-only contraceptives (POCs) play an important role in contraceptive management. They present advantages over combined hormonal contraception (CHC) in women with contraindications to estrogens.

Some literature also suggests alteration of tubal motility [8]. DMPA may be initiated anytime, if the patient and provider can be reasonably certain that the patient is not pregnant (see Appendix C). If it has been >7 days since the first day of the patient’s last menstrual cycle, she should use a back-up method (or abstain from sexual intercourse) for 7 days [5]. However if the patient is pregnant at time of injection, no teratogenic or other adverse effects on the pregnancy have been shown [9, 10].

PASTERNACK of New Zealand teens using the levonorgestrel IUD, show high satisfaction [12, 13]. In a trial with a large number of adolescents, over 84 % of participants were somewhat or very satisfied with IUDs compared to 53 % using non-long-acting methods [11]. CONTINUATION Continuation rates for IUDs are generally high in adolescents and young adults. Two recent studies examined continuation rates in young women: In the Contraceptive Choice study, 12-month continuation for the 52 mg levonorgestrel IUD was similar to that of older adults at 88 %, but continuation for the copper IUD was 72 % for adolescents compared with 85 % for older women [11].

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