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Contraceptive Care for Adolescents

WHITAKER, AMY K. MD; GILLIAM, MELISSA MD, MPH

Clinical Obstetrics & Gynecology: June 2008 - Volume 51 - Issue 2 - pp 268-280
doi: 10.1097/GRF.0b013e31816d713e
Pediatric and Adolescent Gynecology

Adolescents have a high rate of unintended pregnancy: 82% of pregnancies for women aged 15 to 19 years are unintended. The large majority of sexually active adolescent women are using some method of contraception, but few are using long-acting highly effective methods, that is, intrauterine devices and implants. Most adolescent women are relying on oral contraceptive pills and/or condoms as their most effective method, with the third most common method being depot medroxyprogesterone acetate. None of the long-acting highly effective methods are contraindicated in adolescents, and they should be considered for use and offered to young women as contraceptive options.

Department of Obstetrics and Gynecology, University of Chicago Hospitals, Chicago, Illinois

Correspondence: Amy K. Whitaker, MD, Department of Obstetrics and Gynecology, University of Chicago Hospitals, 5841 South Maryland Avenue, MC 2050, Chicago, IL. E-mail: amy.whitaker@uchospitals.edu

© 2008 Lippincott Williams & Wilkins, Inc.