Barrier methods.
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Biomedical subjects
Publications and source records attributed to L B Tyrer.
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There is no one best method of contraception for postpregnant teenagers. Most emphasis, however, needs to be on preventing unwanted teenage pregnancies. Contraceptive history must be considered in prescribing. Effective and continuing contraceptive use is enhanced by careful counseling and follow-up and sensitivity to the special needs of teenage users of contraceptives for support, reinstruction, reassurance, guarantee of privacy, and comfort in the clinical setting. Use of oral contraceptives or IUDs should be encouraged since their use-effectiveness in teenagers is so much greater than other methods. But even more important is acceptability to the teenager as this provides the greatest assurance that the method will be used effectively.
Next to combination oral contraceptives (OCs), intrauterine contraceptive devices (IUDs) are the most effect form of contraception available. IUDs require only one-time motivation, cause no systemic metabolic effects, and do not depend on continued action of the user for effectiveness. Risks, side effects and complications of this method, including expulsion, perforation pain, bleeding and infection, are reviewed.
This review of the special problems of contraception in teenagers has focused on the need for increased efforts in sex education and family-planning and abortion services for this age group. A clear-cut need for new imperatives in these areas is apparent from the data showing an alarming increase in the incidence and rates of unwanted teenage pregnancy and the increased incidence of teenage sexual activity, as compared with earlier times, and its occurrence at earlier ages than previously. Special counseling, education, physical examination procedures, and care and prescription are required when the physician is considering various methods of contraception for adolescents. In the development of adolescent education for responsible sexual behavior, it behooves physicians to keep in mind that it is the members of this age group, in part on the basis of their reactions to the quality of medical care they receive, who will decide and instill the attitudes toward these important issues in the next generation of Americans.
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