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Contraception update: implantable and injectable methods

M A Gold1

  • 1Department of Pediatrics, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York 10467, USA.

Pediatric Annals
|April 1, 1995
PubMed
Summary
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Pediatricians have new contraceptive options for adolescents, including progestin-only methods like implants and injections, which improve adherence. Counseling should cover menstrual changes and emphasize condoms for STD protection.

Area of Science:

  • Reproductive Health
  • Adolescent Medicine
  • Contraception

Background:

  • Increasing contraceptive options for sexually active adolescents is crucial for pregnancy prevention.
  • Patient compliance significantly impacts the efficacy of many contraceptive methods.

Purpose of the Study:

  • To review current contraceptive options for adolescents.
  • To highlight the benefits of progestin-only methods regarding patient compliance.
  • To emphasize essential counseling points for adolescents using hormonal contraception.

Main Methods:

  • Review of current literature on adolescent contraception.
  • Focus on progestin-only methods: levonorgestrel subdermal implants and DMPA injections.
  • Analysis of factors influencing contraceptive efficacy and patient counseling.
Keywords:
AdolescentsAdolescents, FemaleAge FactorsAmericasClinic ActivitiesContraceptionContraceptive AgentsContraceptive Agents, FemaleContraceptive Agents, ProgestinContraceptive ImplantsContraceptive MethodsCounselingDemographic FactorsDepo-proveraDeveloped CountriesDiseasesFamily PlanningInjectablesLevonorgestrelMedroxyprogesterone AcetateMenstruation DisordersNorth AmericaNorthern AmericaOrganization And AdministrationPopulationPopulation CharacteristicsProgram ActivitiesProgramsUnited StatesYouth

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Main Results:

  • Progestin-only methods (implants, injections) largely overcome compliance issues.
  • Menstrual irregularity is a common side effect requiring explicit counseling.
  • Hormonal contraceptives do not protect against sexually transmitted diseases (STDs).

Conclusions:

  • Levonorgestrel implants and DMPA injections offer effective, compliance-independent contraceptive options for adolescents.
  • Counseling must address potential menstrual irregularities and the critical need for STD prevention through condom use.
  • Adolescents require comprehensive education on both pregnancy and STD prevention strategies.