ESPE Abstracts (2014) 82 WG5.6

Contraception in Adolescence: Current Options

Catherine Gordon


Hasbro Children’s Hospital and Brown University, Providence, Rhode Island, USA


Adolescent girls may present to their pediatric or reproductive endocrinologist seeking advice regarding contraception. In 2014, there are many methods available, and the risks and benefits of each must be weighed in determining which method is most appropriate for a given patient. This lecture will provide an overview of contraceptive methods, with a focus on oral contraceptive pills, transdermal patches, and the vaginal ring. Methods will be reviewed with a focus on thrombotic risk and bone health as potential health risks. Recommendations for evidence based prescribing will be discussed, considering guidelines from the World Health Organization (WHO) and US Centers for Disease Control and Prevention (CDC). Cases will be used to illustrate points including the amenorrheic athlete, adolescent girl with polycystic ovary syndrome, and the receipt of other medications that may affect hormonal metabolism, and therefore, have implications for contraceptive efficacy.

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