Contraception Counseling in Adolescents

The adolescent population is experiencing increasing pressure to take part in sexual activity. It is part of our role as pediatricians to counsel our patients appropriately & thoroughly through their sexual & reproductive health. Dr. Shreeti Kapoor, a general pediatrician, joins Pediatric Resident Dani Watson & MS3 Irielle Duncan to discuss contraception options & how to have those conversations with adolescent patients. Specifically, they will:

• Review the efficacy, mechanism of action, potential adverse effects, and benefits of various contraceptive options, including abstinence, barrier methods, combination hormonal contraceptives, Depo Provera, and LARCs. 

• Discuss how to obtain relevant medical and sexual history to help in choosing an appropriate contraceptive for an adolescent patient. 

• Identify potential barriers or considerations that are specific for adolescent patients when discussing contraceptives. 

• Discuss options for emergency contraception & their mechanisms of action. 

Special thanks to Drs. Rebecca Yang & Danielle Rosema for peer reviewing this episode.

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References: 

• https://www.aafp.org/pubs/afp/issues/2003/0401/p1571.html
• https://www.cdc.gov/nchs/products/databriefs/db366.htm#:~:text=By%20age%2015%2C%2021%25%20of,had%20ever%20had%20sexual%20intercourse.
• https://www.plannedparenthood.org/learn/birth-control/withdrawal-pull-out-method/how-effective-is-withdrawal-method-pulling-out#:~:text=What%20we%20do%20know%20is,or%20not%20you%27re%20ovulating.
• https://www.acog.org/womens-health/faqs/barrier-methods-of-birth-control-spermicide-condom-sponge-diaphragm-and-cervical-cap
• https://www.acog.org/clinical/clinical-guidance/practice-bulletin/articles/2017/11/long-acting-reversible-contraception-implants-and-intrauterine-devices
• https://www.acog.org/womens-health/faqs/combined-hormonal-birth-control-pill-patch-ring
• https://www.acog.org/womens-health/faqs/progestin-only-hormonal-birth-control-pill-and-injection
• https://www.aafp.org/pubs/afp/issues/1998/0801/p522.html
• https://www.acog.org/womens-health/infographics/effectiveness-of-birth-control-methods