Contraception update: implantable and injectable methods.
There are currently more options available to pediatricians caring for sexually active adolescents who wish to prevent pregnancy. The two progestin-only methods, levonorgestrel subdermal implants and DMPA injections, minimize or entirely remove the obstacle of patient compliance from contraceptive efficacy. Adolescents considering a progestin-only method of contraception should be counseled explicitly about the likelihood of menstrual irregularity with use. Perhaps more importantly, adolescents should be reminded that hormonal methods of contraception do not provide protection from sexually transmitted disease. Thus, male condom use should not only be recommended, but also concrete discussion and instruction on appropriate use should be given.
Gold
M A
MA
Department of Pediatrics, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York 10467, USA.
D000293:Adolescent; D000294:Adolescent Behavior; D015519:Bone Density / Q000187:drug effects; D003268:Contraception Behavior; D003273:Contraceptive Devices / Q000191:economics / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D016912:Levonorgestrel / Q000009:adverse effects / Q000191:economics / Q000494:pharmacology; D017258:Medroxyprogesterone Acetate / Q000009:adverse effects / Q000191:economics / Q000494:pharmacology; D008598:Menstruation / Q000187:drug effects; D008660:Metabolism / Q000187:drug effects; D012725:Sexual Behavior; D002583:Uterine Cervical Neoplasms / Q000209:etiology
D016912:Levonorgestrel; D017258:Medroxyprogesterone Acetate