Gold M A
Department of Pediatrics, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York 10467, USA.
Pediatr Ann. 1995 Apr;24(4):203-7. doi: 10.3928/0090-4481-19950401-08.
There are currently more options available to pediatricians caring for sexually active adolescents who wish to prevent pregnancy. The two progestin-only methods, levonorgestrel subdermal implants and DMPA injections, minimize or entirely remove the obstacle of patient compliance from contraceptive efficacy. Adolescents considering a progestin-only method of contraception should be counseled explicitly about the likelihood of menstrual irregularity with use. Perhaps more importantly, adolescents should be reminded that hormonal methods of contraception do not provide protection from sexually transmitted disease. Thus, male condom use should not only be recommended, but also concrete discussion and instruction on appropriate use should be given.
对于照顾有性活动且希望预防怀孕的青少年的儿科医生来说，目前有更多的选择。两种仅含孕激素的方法，左炔诺孕酮皮下植入剂和醋酸甲羟孕酮注射剂，将患者依从性这一影响避孕效果的障碍降到最低或完全消除。对于考虑采用仅含孕激素避孕方法的青少年，应明确告知其使用后月经不规律的可能性。也许更重要的是，应提醒青少年激素避孕方法不能预防性病。因此，不仅应推荐使用男用避孕套，还应就正确使用进行具体的讨论和指导。
