Kontrazeptionsberatung bei Adoleszenten View Full Text


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Article Info

DATE

2021-09-13

AUTHORS

Ruth Draths

ABSTRACT

BackgroundIn the last 20 years the contraceptive behavior of the population has changed, as demonstrated by the decline in combined hormonal contraceptives.Research questionThe article examines which contraceptive methods are currently recommended for adolescents and how contraceptive counselling should weigh up risks and side effects.Material and methodsThe current contraceptive data in Switzerland are compared with international data and the current literature on the various contraceptive methods and on counselling for adolescents is reviewed. Numerous uncited articles, expert opinions and the views of young people concerned as expressed in the results of surveys and counselling interviews are included in the work.ResultsSwiss data confirm the significant decrease in combined oral contraception among adolescents and also the decrease in condom use. The use of long-acting methods (e.g. intrauterine devices and implants) has increased but many adolescents seem to have abandoned safe contraception. The use of rhythm methods with periodic abstinence, coitus interruptus and condom use alone is associated with a very high failure rate among adolescents, with each contraceptive method showing more failures in adolescents than in adults.ConclusionThe numerous publications available show how complex contraceptive counselling has become today. In addition to medically justified concerns, unrealistic ideas, unconscious fears and fashion trends often have to be included and clarified for joint decision-making. Safety and tolerability of intrauterine methods are well documented in numerous studies and can mostly be offered to sexually active adolescents with a desire for safe long-term contraception. More... »

PAGES

286-294

References to SciGraph publications

  • 2019-11-11. Levonorgestrel IUD: is there a long-lasting effect on return to fertility? in JOURNAL OF ASSISTED REPRODUCTION AND GENETICS
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    http://scigraph.springernature.com/pub.10.1007/s10304-021-00417-3

    DOI

    http://dx.doi.org/10.1007/s10304-021-00417-3

    DIMENSIONS

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