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Bones and Birth Control in Adolescent Girls.

Abstract

Peak bone mass acquisition during adolescence is an important determinant of adult bone health. Knowledge about the effects of different contraceptives on peak bone mass acquisition could influence choice of method recommended. This review summarizes normal bone acquisition during adolescence, discusses methods of assessing bone health in this age group, and reviews the effects of different contraceptive options on bone health, both in adults and in adolescents. Based on the evidence, LARC does not appear to affect peak bone mass acquisition or future fracture risk and remains the first line contraceptive choice for adolescents. Oral contraceptives with doses of ethinyl estradiol > 30μg should be used in preference to lower dose preparations, and the adverse effects of DMPA on bone health are reversible on discontinuation of the medication. Concerns about bone health should not prevent use of DMPA in an adolescent who prefers this method.

Authors+Show Affiliations

The Marron and Mary Elizabeth Kendrick Professor of Pediatrics, Lucile Packard Children's Hospital, Stanford, Stanford University School of Medicine, 770 Welch Road, Suite 100, Palo Alto, CA, 94304. Electronic address: ngolden@stanford.edu.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

31972296

Citation

Golden, Neville H.. "Bones and Birth Control in Adolescent Girls." Journal of Pediatric and Adolescent Gynecology, 2020.
Golden NH. Bones and Birth Control in Adolescent Girls. J Pediatr Adolesc Gynecol. 2020.
Golden, N. H. (2020). Bones and Birth Control in Adolescent Girls. Journal of Pediatric and Adolescent Gynecology, doi:10.1016/j.jpag.2020.01.003.
Golden NH. Bones and Birth Control in Adolescent Girls. J Pediatr Adolesc Gynecol. 2020 Jan 20; PubMed PMID: 31972296.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Bones and Birth Control in Adolescent Girls. A1 - Golden,Neville H, Y1 - 2020/01/20/ PY - 2019/11/14/received PY - 2020/01/07/revised PY - 2020/01/11/accepted PY - 2020/1/24/entrez PY - 2020/1/24/pubmed PY - 2020/1/24/medline KW - Bone densitometry KW - DMPA KW - DXA KW - HR-pQCT KW - Long acting reversible contraception KW - adolescents KW - contraception KW - low bone mass KW - osteoporosis JF - Journal of pediatric and adolescent gynecology JO - J Pediatr Adolesc Gynecol N2 - Peak bone mass acquisition during adolescence is an important determinant of adult bone health. Knowledge about the effects of different contraceptives on peak bone mass acquisition could influence choice of method recommended. This review summarizes normal bone acquisition during adolescence, discusses methods of assessing bone health in this age group, and reviews the effects of different contraceptive options on bone health, both in adults and in adolescents. Based on the evidence, LARC does not appear to affect peak bone mass acquisition or future fracture risk and remains the first line contraceptive choice for adolescents. Oral contraceptives with doses of ethinyl estradiol > 30μg should be used in preference to lower dose preparations, and the adverse effects of DMPA on bone health are reversible on discontinuation of the medication. Concerns about bone health should not prevent use of DMPA in an adolescent who prefers this method. SN - 1873-4332 UR - https://www.unboundmedicine.com/medline/citation/31972296/Bones_and_Birth_Control_in_Adolescent_Girls L2 - https://linkinghub.elsevier.com/retrieve/pii/S1083-3188(20)30004-8 DB - PRIME DP - Unbound Medicine ER -