文章基本信息

标题：Hormonal Contraception in Teenager Girls. The Role of Counseling to Ensure Effective Contraceptive Use
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作者：Laura Mihaela TRANDAFIR ; Mihaela GRIGORE ; Cristina PREDA 等
期刊名称：Revista de Cercetare şi Intervenţie Socială
印刷版ISSN：1583-3410
电子版ISSN：1584-5397
出版年度：2019
卷号：67
页码：223-233
出版社：Lumen Publishing House
摘要：Teenager girls represent a particular risk group for unwanted pregnancy and abortion with important consequences on their health, school and professional education and social life. In order to avoid this problem appropriate counseling during contraceptive process is of paramount importance. Apart confi dentiality the contraceptive counselor must also demonstrate other important qualities like expertise, trustworthiness and availability. In hormonal contraception adolescents may be particularly bothered by side eff ects and it is important that they are counseled about these side eff ects prior to method initiation. Combined hormonal contraceptive methods with estrogens and progesterone are commonly used among adolescents, but the failure rate is higher compared to adult women, a possible explanation being lower adherence and higher rates of discontinuation. Depot medroxyprogesterone acetat (DMPA) is a highly eff ective injectable contraceptive appealing for adolescents because of its dosing schedule of four times per year. When using DMPA they should be counseled for changes in menstrual pattern or amenorrhea and the possible decrease in the bone mineral density if it used longer than to years. Long-acting, reversible contraception may be particularly suitable for many adolescents and are considered very eff ective methods. Anyhow with intrauterine devices (IUDs) the risk of contracting sexually transmitted diseases is higher and dual protection is mandatory in cases where IUD is used. Adolescents should be advised on the use of backup contraception and also barrier contraception for sexually transmitted infections prevention.
关键词：hormonal contraception; oral contraceptive; teenager girls;; counseling; social support.