[Adolescents and contraception. What should the pediatrician know? (Part 2)].
Many adolescents are sexually active and reproductive health is an important aspect of adolescent medicine. However, pediatricians are often uncomfortable with the issues of sexuality and contraception, for which they have not been particularly trained. The general purpose of this article is to increase pediatricians' sense of competence with adolescents, particularly when having to deal with or counsel on such a sensitive issue as contraception. This second of two parts addresses confidentiality and prescription of oral contraceptives to minors, how to ask questions about sexual and reproductive life, best initial choice and eventual subsequent switch of contraceptive pill, acne and oral contraception, problems with mental handicap, and finally, what about boys. Pediatricians interested in the care of adolescents are strongly invited to keep developing their expertise in the field of sexuality, contraception and reproductive health.
Alvin
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Service de médecine pour adolescents, Fédération de pédiatrie, centre hospitalier universitaire de Bicêtre, 78, rue du Général Leclerc, 94275 Le Kremlin-Bicêtre, France. patrick.alvin@btc.ap-hop-paris.fr
Neu-Janicki
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AM
Jacquin
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Salinier
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C
D000152:Acne Vulgaris / Q000188:drug therapy; D000293:Adolescent; D000294:Adolescent Behavior; D000295:Adolescent Medicine; D003267:Contraception; D003276:Contraceptives, Oral; D003879:Dermatologic Agents / Q000627:therapeutic use; D004992:Ethics, Medical; D005260:Female; D006801:Humans; D008607:Intellectual Disability; D015474:Isotretinoin / Q000627:therapeutic use; D008297:Male; D010372:Pediatrics; D010817:Physician-Patient Relations; D011247:Pregnancy; D011275:Pregnancy, Unwanted; D012725:Sexual Behavior; D019529:Sexuality; D011795:Surveys and Questionnaires
D003276:Contraceptives, Oral; D003879:Dermatologic Agents; D015474:Isotretinoin
Les adolescents et la contraception. Que devrait savoir le pédiatre? (2e partie).