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Controversies in adolescent hormonal contraception.

Anne R Davis1, Stephanie B Teal

  • 1Department of Obstetrics and Gynecology, Division of Prevention and Ambulatory Care, New York Presbyterian Hospital, PH-16, 630 West 168th Street, New York, NY 10032, USA. ard4@columbia.edu

Obstetrics and Gynecology Clinics of North America
|July 3, 2003
PubMed
Summary

Adolescent hormonal contraception is safe and effective, yet unintended pregnancies persist. This review addresses controversies surrounding oral contraceptives, injectable contraceptives, and emergency contraception access for teens.

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Area of Science:

  • Reproductive Health
  • Adolescent Medicine
  • Contraception Research

Background:

  • High rates of unintended pregnancy and abortion persist among US adolescents.
  • Hormonal contraception is recognized as safe and effective for this demographic.
  • Several controversies impact the provision of hormonal contraception to adolescents.

Purpose of the Study:

  • To address key controversies surrounding hormonal contraceptive use in adolescents.
  • To review the scientific literature concerning side effects, bone health, and emergency contraception access.
  • To provide evidence-based information to inform clinical practice and policy.

Main Methods:

  • Literature review of scientific articles and studies.
  • Analysis of data on hormonal contraceptive safety and efficacy in adolescents.

Related Experiment Videos

  • Examination of controversies regarding oral contraceptives, progestin-only injectables, and emergency contraception.

    • Main Results:

    • Oral contraceptives demonstrate a favorable safety profile for adolescents.
    • Concerns regarding progestin-only injectables and bone health are addressed with current evidence.
    • Literature supports the availability of emergency contraception for adolescents.

    Conclusions:

    • Hormonal contraception is a safe and effective option for adolescents.
    • Evidence-based reviews can mitigate controversies and improve access to care.
    • Informed decision-making regarding adolescent contraception is crucial.