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Adolescent contraception: nonhormonal methods.
Pediatr Clin North Am. 1989 Jun; 36(3):717-30.PC

Abstract

A comparison of the advantages, disadvantages, and costs of each method is presented in Table 1. Barrier methods of contraception offer adolescents protection against both pregnancy and STDs, but innovative approaches are needed to enhance availability and acceptability. Condom use in conjunction with a vaginal spermicide would provide optimal protection. The "female condom" may prove to be an effective alternative. Diaphragms and cervical caps can be prescribed for well-educated, highly motivated adolescents comfortable with insertion and removal. The vaginal contraceptive sponge provides many of the advantages of the diaphragm and cap without the need for an examination and fitting and also may be used as a backup method with the condom. Vaginal spermicides used alone are significantly less effective than in combination with a mechanical barrier. The IUD is not considered appropriate for most adolescents due to its association with an increased risk of pelvic infection. Periodic abstinence requires accurate identification of the fertile period, extensive education, and partner cooperation. Sterilization is rarely considered an option in adolescents. Alternate forms of sexual expression are available to adolescents who choose to abstain from intercourse.

Authors+Show Affiliations

Tufts University School of Medicine, Boston, Massachusetts.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

2660093

Citation

Kulig, J W.. "Adolescent Contraception: Nonhormonal Methods." Pediatric Clinics of North America, vol. 36, no. 3, 1989, pp. 717-30.
Kulig JW. Adolescent contraception: nonhormonal methods. Pediatr Clin North Am. 1989;36(3):717-30.
Kulig, J. W. (1989). Adolescent contraception: nonhormonal methods. Pediatric Clinics of North America, 36(3), 717-30.
Kulig JW. Adolescent Contraception: Nonhormonal Methods. Pediatr Clin North Am. 1989;36(3):717-30. PubMed PMID: 2660093.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Adolescent contraception: nonhormonal methods. A1 - Kulig,J W, PY - 1989/6/1/pubmed PY - 1989/6/1/medline PY - 1989/6/1/entrez KW - Acquired Immunodeficiency Syndrome KW - Adolescents KW - Age Factors KW - Americas KW - Barrier Methods KW - Cervical Cap KW - Condom KW - Contraception KW - Contraceptive Agents KW - Contraceptive Methods KW - Contraceptive Methods Chosen KW - Contraceptive Usage KW - Demographic Factors KW - Developed Countries KW - Diseases KW - Family Planning KW - Hiv Infections KW - Iud KW - North America KW - Northern America KW - Oral Contraceptives KW - Population KW - Population Characteristics KW - Spermicidal Contraceptive Agents KW - Sterilization, Sexual KW - United States KW - Vaginal Barrier Methods KW - Vaginal Diaphragm KW - Vaginal Sponge KW - Viral Diseases KW - Youth SP - 717 EP - 30 JF - Pediatric clinics of North America JO - Pediatr Clin North Am VL - 36 IS - 3 N2 - A comparison of the advantages, disadvantages, and costs of each method is presented in Table 1. Barrier methods of contraception offer adolescents protection against both pregnancy and STDs, but innovative approaches are needed to enhance availability and acceptability. Condom use in conjunction with a vaginal spermicide would provide optimal protection. The "female condom" may prove to be an effective alternative. Diaphragms and cervical caps can be prescribed for well-educated, highly motivated adolescents comfortable with insertion and removal. The vaginal contraceptive sponge provides many of the advantages of the diaphragm and cap without the need for an examination and fitting and also may be used as a backup method with the condom. Vaginal spermicides used alone are significantly less effective than in combination with a mechanical barrier. The IUD is not considered appropriate for most adolescents due to its association with an increased risk of pelvic infection. Periodic abstinence requires accurate identification of the fertile period, extensive education, and partner cooperation. Sterilization is rarely considered an option in adolescents. Alternate forms of sexual expression are available to adolescents who choose to abstain from intercourse. SN - 0031-3955 UR - https://www.unboundmedicine.com/medline/citation/2660093/Adolescent_contraception:_nonhormonal_methods_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0031-3955(16)36693-7 DB - PRIME DP - Unbound Medicine ER -