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Sometimes You Do Get a Second Chance: Emergency Contraception for Adolescents.

Ellen S Rome1, Veronica Issac2

  • 1Center for Adolescent Medicine, Cleveland Clinic Children's Hospital, A120, 9500 Euclid Avenue, Cleveland, OH 44195, USA; Cleveland Clinic Lerner College of Medicine, Cleveland, OH, USA.

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Emergency contraception (EC) provides a crucial second chance for adolescents facing unplanned pregnancies. Available methods include IUDs and various hormonal options, offering vital reproductive health choices.

Keywords:
AdolescentsEmergency contraceptionHormonal contraceptionPregnancy preventionTeen pregnancyUnprotected intercourse

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Area of Science:

  • Reproductive Health
  • Adolescent Medicine
  • Contraception

Background:

  • Unplanned pregnancies pose a significant challenge for adolescents.
  • Many adolescents experience high failure rates with short-acting contraceptives like condoms and oral contraceptives.
  • Long-acting reversible contraceptive methods are often not chosen by teens who plan ahead.

Purpose of the Study:

  • To highlight the necessity of emergency contraception (EC) for adolescents.
  • To review currently available global postcoital contraceptive methods.
  • To emphasize EC as a critical option for preventing unintended pregnancies after unprotected sexual activity.

Main Methods:

  • Review of globally available emergency contraception methods.
  • Identification of five distinct postcoital contraceptive options.

Main Results:

  • Five main categories of emergency contraception are available worldwide.
  • These include intrauterine devices (IUDs), ulipristal acetate, mifepristone, levonorgestrel, and combined ethinyl estradiol/progestin methods.
  • Progestin-only methods are increasingly preferred over older combined methods.

Conclusions:

  • Emergency contraception is essential for adolescents seeking to prevent unintended pregnancy.
  • A range of effective postcoital methods are available globally.
  • Adolescents require access to and information about these vital reproductive health services.