Division of Endocrinology, Children's Hospital Boston, Massachusetts 02115, USA.
J Clin Endocrinol Metab. 2012 Jan;97(1):9-15. doi: 10.1210/jc.2011-1780.
It is essential to develop contraceptive counseling skills given the potential complications associated with an unplanned pregnancy, especially for adolescents. Multiple factors must be considered when reviewing contraceptive options with an adolescent: maturity, finances, access to care and prescriptions, confidentiality, medical risks and benefits, and contraindications to use of certain hormonal agents. Many adolescents will be concerned about the possibility of weight gain or the development of acne associated with the use of certain contraceptive agents. They are usually unaware of the risks of thrombosis, stroke, or adverse bone health effects. Providers must be able to speak to these issues using an evidence-based approach.
鉴于与意外怀孕相关的潜在并发症，特别是对于青少年而言，培养避孕咨询技巧至关重要。在与青少年讨论避孕选择时，必须考虑多个因素：成熟度、财务状况、获得医疗保健和处方的机会、保密性、医疗风险和益处，以及某些激素药物使用的禁忌症。许多青少年会担心使用某些避孕药物可能会导致体重增加或出现痤疮。他们通常不知道血栓形成、中风或不良骨骼健康影响的风险。提供者必须能够使用循证方法来讨论这些问题。
