Department of Pediatrics, Nationwide Children's Hospital, Columbus, OH, USA.
Department of Pediatrics, Children's Hospital Colorado, Aurora, CO, USA.
J Pediatr Adolesc Gynecol. 2020 Oct;33(5):448-454. doi: 10.1016/j.jpag.2020.06.022. Epub 2020 Jul 2.
Among young persons, ease of use, high efficacy, and high acceptability makes the etonogestrel contraceptive implant an important choice for this age group. Adolescent-friendly, patient-centered counseling considers the patient's cognitive development, the influence of friends and family, as well as their own preferences and values. Age-appropriate language, graphics, and models are useful to explain contraceptive options and relevant side effects. Effectiveness, reversibility, safety, noncontraceptive benefits, and side effects are important attributes and should be discussed when teens are choosing a contraceptive method. In this review we describe suggested best practices for counseling adolescents about the etonogestrel implant so they can make informed, prudent decisions about using this contraceptive method.
在年轻人中,易用性、高效性和高可接受性使得依托孕诺酮避孕植入物成为这一年龄组的重要选择。以青少年为中心、以患者为中心的咨询考虑了患者的认知发展、朋友和家人的影响,以及他们自己的喜好和价值观。适合年龄的语言、图形和模型有助于解释避孕选择和相关的副作用。有效性、可逆性、安全性、非避孕益处和副作用是重要的属性,在青少年选择避孕方法时应进行讨论。在这篇综述中,我们描述了建议的最佳实践,以咨询青少年关于依托孕诺酮避孕植入物的使用,以便他们能够对使用这种避孕方法做出明智、谨慎的决定。