2024年米国避妊適格基準および避妊使用のための選択的実施推奨事項における青年期対象臨床家向け主要ポイント

The U.S. Medical Eligibility Criteria for Contraceptive Use (U.S. MEC) and the U.S. Selected Practice Recommendations for Contraceptive Use (U.S. SPR) offer evidence-based guidelines to support the safe and effective provision of contraceptive services. Updated in 2024 and endorsed by the North American Society for Pediatric and Adolescent Gynecology, these documents serve as critical resources for clinicians, particularly those caring for adolescents. The guidelines play an essential role in promoting equitable, high-quality contraceptive care and reducing unintended pregnancy among adolescents. This review aims to summarize key updates to the U.S. MEC and U.S. SPR that are most relevant to adolescents in order to facilitate broader dissemination and practical implementation of current recommendations among this population. The summary is designed to complement, not replace, the comprehensive guidance provided in the full U.S. MEC and U.S. SPR documents.