Duranteau Lise
Unité de gynécologie adolescente et jeune adulte, AP-HP, université Paris Saclay (Bicêtre), Hôpital Bicêtre, 78 rue du Général Leclerc, 94275 Le Kremlin Bicêtre, France.
Med Sci (Paris). 2021 Oct;37(10):873-881. doi: 10.1051/medsci/2021148. Epub 2021 Oct 14.
The request for a contraception in adolescent women makes it possible to address HPV vaccination and prevention of STIs and to search for abuse. Optimizing the use of contraception is the priority. Any contraceptive methods can be offered. Adhesion is improved by prior information and individualized counselling. Apart from the vascular risk associated with the combined hormonal contraception, hormonal contraception provides gynecologic benefits. The efficacy of long-acting methods is higher compared to short-acting methods but their tolerance is a sensitive matter. Emergency contraception can be prescribed in advance. There are measures to facilitate the delivery to minors.
青少年女性的避孕需求使得可以开展人乳头瘤病毒(HPV)疫苗接种及性传播感染(STIs)预防工作,并排查是否存在虐待情况。优化避孕措施的使用是首要任务。可提供任何避孕方法。通过事先告知和个性化咨询可提高接受度。除了与复方激素避孕相关的血管风险外,激素避孕还有妇科方面的益处。长效避孕方法的效果比短效方法更高,但耐受性是个敏感问题。紧急避孕可提前开出处方。有一些措施便于向未成年人提供避孕服务。