Contraception for adolescents

Ott, Mary A.; Sucato, Gina S.; COMMITTEE ON ADOLESCENCE; Braverman, Paula K.; Adelman, William P.; Alderman, Elizabeth M.; Breuner, Cora C.; Levine, David A.; Marcell, Arik V.; O’Brien, Rebecca F.

doi:10.1542/peds.2014-2300

Cited by 402Reproductive Health and ContraceptionAdolescent Sexual and Reproductive HealthAdolescent and Pediatric Healthcare

Contraception for adolescents

Ott, Mary A., Sucato, Gina S., COMMITTEE ON ADOLESCENCE, Braverman, Paula K., Adelman, William P., Alderman, Elizabeth M., Breuner, Cora C., Levine, David A. +2 more·2014·PEDIATRICS

DOI 10.1542/peds.2014-2300

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Abstract

A working knowledge of contraception will assist the pediatrician in both sexual health promotion as well as treatment of common adolescent gynecologic problems. Best practices in adolescent anticipatory guidance and screening include a sexual health history, screening for pregnancy and sexually transmitted infections, counseling, and if indicated, providing access to contraceptives. Pediatricians' long-term relationships with adolescents and families allow them to help promote healthy sexual decision-making, including abstinence and contraceptive use. Additionally, medical indications for contraception, such as acne, dysmenorrhea, and heavy menstrual bleeding, are frequently uncovered during adolescent visits. This technical report provides an evidence base for the accompanying policy statement and addresses key aspects of adolescent contraceptive use, including the following: (1) sexual history taking, confidentiality, and counseling; (2) adolescent data on the use and side effects of newer contraceptive methods; (3) new data on older contraceptive methods; and (4) evidence supporting the use of contraceptives in adolescent patients with complex medical conditions.

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The recent global policy push to increase the use of long-acting reversible contraceptives (LARCs) among adolescents has promoted the use of some very effective non-hormonal methods, like hormone free IUDs, and has promoted increased use of IUDs, implants, and injectables containing progestin.
“The recent global policy push to increase the use of long-acting reversible contraceptives (LARCs) among adolescents has promoted the use of some very effective non-hormonal methods, like hormone free IUDs, and has promoted increased use of IUDs, implants, and injectables containing progestin”
From Becoming a sexual being: The “elephant in the room” of adolescent brain development (2017) · cites this paper as Ott et al., 2014
Despite an array of other options and the promotion of LARCs, combined oral contraceptives (COCs), containing both estrogen and progestin, remain one of the most utilized contraceptive methods among young women.
“Despite an array of other options and the promotion of LARCs, combined oral contraceptives (COCs), containing both estrogen and progestin, remain one of the most utilized contraceptive methods among young women”
From Becoming a sexual being: The “elephant in the room” of adolescent brain development (2017) · cites this paper as Ott et al., 2014

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Self-citation
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Understanding the Decline in Adolescent Fertility in the United States, 2007–2012
Lindberg, L., Santelli, J., & Desai, S. (2016) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2016.06.024 · Cited by 185 · see citing works
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Behavioral Counseling Interventions to Prevent Sexually Transmitted Infections: US Preventive Services Task Force Recommendation Statement
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The need for reproductive justice in pediatrics
Cohen, R. E., Wilkinson, T. A., & Staples-Horne, M. (2021) · JAMA Pediatrics · doi:10.1001/jamapediatrics.2021.2978 · Cited by 26 · see citing works

Authors: Ott, M. A., Sucato, G. S., COMMITTEE ON ADOLESCENCE, Braverman, P. K., Adelman, W. P., Alderman, E. M., Breuner, C. C., Levine, D. A., Marcell, A. V., & O’Brien, R. F.
ORCID: Ott, Mary A.
Sucato, Gina S.
Adelman, William P.
Levine, David A.
Marcell, Arik V.
O’Brien, Rebecca F.
Venue: PEDIATRICS
Publisher: American Academy of Pediatrics (AAP)
Published: 2014-10-01
Volume: 134
Issue: 4
Pages: e1257-e1281
ISSN: 0031-4005 (ISSN-L)
1098-4275
DOI: 10.1542/peds.2014-2300
OpenAlex: W2237248299
Cited by: 402
References: 282
Citations by year: 2026: 3 · 2025: 5 · 2024: 14 · 2023: 14 · 2022: 11 · 2021: 32 · 2020: 48 · 2019: 57 · 2018: 45 · 2017: 61 · 2016: 57 · 2015: 45 · 2014: 10
FWCI: 8.98
Type: journal article
Language: en
Open access: closed
Locations: PEDIATRICS (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Reproductive Health and Contraception
Health Sciences › Health Professions › General Health Professions › Adolescent Sexual and Reproductive Health
Health Sciences › Health Professions › Speech and Hearing › Adolescent and Pediatric Healthcare
Keywords: adolescent contraception, adolescent sexual health, sexual health promotion, anticipatory guidance, sexual history, confidentiality, contraceptive counseling, sexually transmitted infections, pregnancy screening, contraceptive side effects, acne, dysmenorrhea, menorrhagia
MeSH terms: Adolescent, Adolescent Behavior, Contraception, Counseling, Female, Humans, Male, Pediatrics, Pregnancy, Sexual Behavior, Societies, Medical, Research Report

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Contraception for adolescents

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