在医学复杂的青少年和年轻成年人中避孕
Jessica Addison1,2, Areej Hassan1,2, Amy DiVasta1,2
1Division of Adolescent/Young Adult Medicine, Boston Children's Hospital, Boston, MA, USA.
Open access journal of contraception
|May 30, 2024
概括
患有慢性疾病的青少年和年轻人像同龄人一样需要避孕措施. 了解复杂的避孕需求可以改善计划生育,并减少这些人的健康差异.
科学领域:
- 生殖健康 生殖健康
- 青少年医学 青少年医学
- 公共卫生 公共卫生
背景情况:
- 避孕对青少年和年轻成人 (AYA) 的性和生殖健康 (SRH) 至关重要.
- 提供者可能错误地认为患有慢性疾病的AYA没有性活动,导致SRH查和护理不足.
- 这种监督可能会导致性知识的下降,更高的意外怀孕率和这些AYA之间的健康差异.
研究的目的:
- 为患有慢性疾病的AYA提供避孕方法的全面概述.
- 详细说明AYA在特定医疗条件下使用避孕药的疗效和医疗资格标准.
- 为具有医疗复杂性的AYA提供关于优化避孕决策的指导.
主要方法:
- 对一般避孕方法的审查.
- 分析目前可用的避孕方法,其有效性和医疗资格标准.
- 包括针对特定人群的临床病例情景 (艾滋病毒,自身免疫性疾病,固体器官移植接受者).
主要成果:
- 患有慢性疾病的性活跃AYA的避孕需求通常由于提供者的假设而未得到满足.
- 特定的疾病和临床因素 (例如,血栓形成风险,药物相互作用) 影响避孕方法的选择.
- 量身定制的咨询和共享决策对于有效的避孕使用在这个人群中至关重要.
结论:
- 更好地了解避孕的复杂性可以增加使用率并减少耻辱感.
- 提供者必须考虑个体的临床状态和风险,在辅导AYA慢性疾病的计划生育.
- 优化避孕护理对于减少健康差异和改善医疗复杂性AYA的SRH结果至关重要.
相关概念视频
01:22Birth Control Methods
230
Vasectomy is a surgical form of male sterilization that involves severing and sealing the vasa deferentia, preventing sperm from mixing with semen during ejaculation. Because a vasectomy does not impact the testes' ability to produce testosterone, hormone levels, libido, and sexual function generally remain unchanged. While vasectomy is highly effective in preventing pregnancy, with a success rate near 99.85%, rare cases of recanalization (spontaneous reconnection) can occur. Although...
230
01:21Factors Affecting Drug Response: Overview
2.0K
When it comes to infants and young children, they are typically administered smaller doses of medication in comparison to adults. This is primarily because their organ functions still need to fully develop, meaning their bodies are not as efficient at metabolizing or eliminating drugs. Additionally, their blood-brain barrier is more permeable than in adults. As a result, high concentrations of drugs can easily penetrate the central nervous system (CNS), potentially leading to neurological...
2.0K
01:17Ethical Dilemmas I
873
Ethical dilemmas in nursing are of utmost importance, as they often arise from the tension between adhering to core ethical principles and the practical realities of healthcare delivery. These dilemmas require nurses to navigate complex situations where competing ethical considerations pull them in different directions.
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
873
01:28Infertility in Females
292
Female infertility is defined as the inability to conceive after a year of regular, unprotected intercourse and affects about 10–15% of couples worldwide. The primary cause of female infertility is ovulatory disorders, which hinder the release of eggs. These disorders can be classified as hypothalamic amenorrhea, polycystic ovarian syndrome (PCOS), premature ovarian failure, and hyperprolactinemic anovulation disorders.
Endometriosis, a condition characterized by abnormal growth of...
Endometriosis, a condition characterized by abnormal growth of...
292
01:28Drug Therapy
42
The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
Antianxiety Medications
Antianxiety Medications
42
01:26Psychosis: Goals of Pharmacotherapy
123
Antipsychotic drugs are a crucial treatment method for acute and chronic psychoses, bipolar illness, and behavioral disorders. The selection of these drugs depends on several factors, including the state of the disease, clinical judgment, possible drug interactions, and the patient's sensitivity to adverse effects. In immediate scenarios, such as delirium and dementia, short-term treatment with low doses of high-potency typical or atypical agents can effectively manage symptom exacerbation.
123