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[Contraception in chronically ill adolescents].

C Drexel-Fink1, F Peters

  • 1Frauenklinik, St. Hildegardis-Krankenhaus, Akademisches Lehrkrankenhaus, Johannes-Gutenberg-Universität Mainz.

Zentralblatt Fur Gynakologie
|April 25, 2003
PubMed
Summary

Choosing contraception for chronically ill adolescents requires careful consideration of potential side effects and patient adherence. Specific conditions like diabetes or galactosemia influence contraceptive recommendations for better adolescent health outcomes.

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Area of Science:

  • Adolescent Medicine
  • Endocrinology
  • Hematology

Background:

  • Contraception for chronically ill adolescents presents unique challenges, necessitating evaluation of metabolic and hematological side effects.
  • Patient compliance is a critical factor in contraceptive counseling for this demographic.

Purpose of the Study:

  • To review contraceptive options for chronically ill adolescents, focusing on specific conditions.
  • To provide guidance on selecting appropriate contraceptives based on disease profiles and patient factors.

Main Methods:

  • Literature review of contraceptive use in adolescents with chronic conditions.
  • Analysis of contraindications and benefits of various contraceptive methods.

Main Results:

  • Oral contraceptives may be suitable for juvenile diabetics with good glycemic control and certain metabolic disorders.
  • Adolescents with galactosemia require assessment for contraception need due to premature ovarian failure risk.
  • Hormonal contraceptives are contraindicated in young women with sickle-cell anemia due to thrombophilia risk.
  • Oral contraceptives can be beneficial in von Willebrand-Jürgens Syndrome by alleviating menorrhagia.

Conclusions:

  • Contraceptive selection in chronically ill adolescents must be individualized, balancing efficacy with disease-specific risks.
  • Careful counseling regarding side effects and compliance is essential for safe and effective contraception in this population.

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