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[Adolescence and contraception]
M A Ruiz Jiménez1, I Carnicer Fuentes, C Castro Yuste
1Escuela de Ciencias de la Salud, Universidad de Cádiz.
Summary
Adolescent pregnancy prevention is crucial, as this age group shows an increasing birthrate. Family planning services are essential for young people, with oral contraceptives being the most common recommendation.
Area of Science:
- Public Health
- Adolescent Medicine
- Reproductive Health
Context:
- The birthrate has declined across most age groups, with a notable exception in adolescents.
- Adolescent pregnancies constitute 4.51% of all pregnancies in Spain.
- Increased accessibility to family planning services is vital for preventing adolescent pregnancies.
Purpose:
- To review medical consultations of adolescents at a family planning service in 1993.
- To analyze data on adolescent sexual activity and contraceptive use.
- To identify common side effects associated with oral contraceptive use in adolescents.
Summary:
- The average age of menarche was 11.8 years, and the average age of first sexual intercourse (coitus primaris) was 16 years.
- Adolescents sought family planning services an average of 9.1 months after their first sexual intercourse.
- Oral contraceptives were recommended to 81.7% of adolescents, followed by condoms (12.4%).
Impact:
- Common side effects of oral contraceptives included mood changes, spotting, digestive issues, migraines, and weight gain.
- Contraceptive use did not significantly alter the number of sexual partners.
- Findings highlight the need for accessible and tailored family planning interventions for adolescents.