| METHOD |
Oral
Contraceptives |
| REMARKS |
Conditions requiring precautions are rare in teens Forgetfulness
increases failure (common among teens)
Most popular method among teens
Although there has been concern about the use of COCs by young adolescents
(theoretical effect on growth), they may be safely used once a teen has started
menstruating. |
| METHOD |
Implants (Norplant) |
| REMARKS |
Side effects such as irregular bleeding/spotting, acne
and weight gain may be particularly bothersome to teens. Thorough counseling is essential. Implants will be in place for periods of time when teen is temporarily
not sexually active.
Highly recommended for teens who want long-term contraception, especially if
they had trouble using another method. |
| METHOD |
Injectable
Contraceptives (CICs and PICs) |
| REMARKS |
Side effects such as irregular bleeding/spotting, acne
and weight gain may be particularly bothersome to teens. Thorough counseling is required. Lack
of need for supplies and non-visibility make these methods attractive to teens.
Highly recommended for teens who require intermediate-duration contraception.
Some studies show that use of DMPA in teens within 2 years of menarche may pose
an additional long-term risk of osteoporosis. |
| METHOD |
IUDs |
| REMARKS |
Not recommended for teens with multiple sex partners.
Thorough counseling is essential. |
| METHOD |
Condoms |
| REMARKS |
Provide immediate protection but require planning
(coitus-related). Should be easily available as teens are likely to have
unplanned intercourse.
Only method that protects against STDs (e.g., HBV, HIV/AIDS). |
| METHOD |
Diaphragm |
| REMARKS |
Generally not recommended for teens because it
requires fitting (i.e., pelvic examination) and continued motivation to use with each act
of intercourse. Best accepted by women who can predict acts of
intercourse and who are highly motivated to avoid pregnancy.
Offers some protection against STDs (e.g., HBV, HIV/AIDS). |
| METHOD |
Voluntary
Sterilization (tubal occlusion and vasectomy) |
| REMARKS |
Not appropriate for adolescents in most circumstances. |
| METHOD |
Withdrawal
(coitus interruptus) Abstinence |
| REMARKS |
Withdrawal may be the only method available to many
teens. Be sure they are fully informed about technique. Abstinence
should be encouraged. |
| METHOD |
Emergency
Contraception |
| REMARKS |
Should be available as teens are likely to have
unplanned, unprotected intercourse. All methods effective and safe for
use in teenagers.
IUDs are less desirable. |
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