Controversies in adolescent hormonal contraception.
Unintended pregnancy and abortion rates among US adolescents remain high although hormonal contraception is safe and effective in this population. Controversies affecting the provision of hormonal contraception for adolescents include the side effects of oral contraceptives, the possibility that progestin-only injectables lead to decreased bone health, and debate as to whether emergency contraception should be available to teens without a prescription. Each of these issues is addressed with a review of relevant literature.
Davis
Anne R
AR
Department of Obstetrics and Gynecology, Division of Prevention and Ambulatory Care, New York Presbyterian Hospital, PH-16, 630 West 168th Street, New York, NY 10032, USA. ard4@columbia.edu
Teal
Stephanie B
SB
D000293:Adolescent; D003276:Contraceptives, Oral / Q000009:adverse effects; D003281:Contraceptives, Postcoital; D005260:Female; D006801:Humans; D007267:Injections; D010024:Osteoporosis / Q000139:chemically induced; D011247:Pregnancy; D011372:Progestins / Q000008:administration & dosage / Q000009:adverse effects
D003276:Contraceptives, Oral; D003281:Contraceptives, Postcoital; D011372:Progestins