Contraceptive use in the chronically Ill adolescent female. Part II

Neinstein, Lawrence S.; Katz, Barbara F.

doi:10.1016/s0197-0070(86)80165-6

Cited by 13 publications

(8 citation statements)

References 191 publications

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“…1 Young women with cystic fibrosis (CF) lack information about effects of CF on their RSH, they participate less in preventive RSH behaviors, and desire more information about these issues than women not affected by CF. 2 The few studies to address any aspect of RSH in males suggest striking knowledge deficits.…”

Section: Introductionmentioning

confidence: 99%

Reproductive health in males with cystic fibrosis: knowledge, attitudes, and experiences of patients and parents

et al. 1998

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Section: Introductionmentioning

confidence: 99%

Reproductive health in males with cystic fibrosis: knowledge, attitudes, and experiences of patients and parents

et al. 1998

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“…Contraceptive requests from adolescents with chronic or complex medical conditions are becoming more common with improved mortality and morbidity for affected adolescents, for example those with congenital cardiac diseases and neoplastic disorders [23,24]. The prescribing clinician must be cognisant of interaction of hormonal medications with enzyme-inducing agents [25] and with the potential hazard of coagulopathy risk after radiation exposure.…”

Section: Discussionmentioning

confidence: 99%

Exploring Clinician Confidence in the Management of Adolescent Menstrual and Reproductive Health Problems

2014

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Purpose: A high incidence of menstrual problems is reported in adolescent girls, with significant attendant morbidity. The majority are likely to be seen and managed by doctors other than specialist gynaecologists. This study aimed to survey the practice of doctors other than gynaecologists, to establish their chosen therapeutic options and confidence levels and to explore knowledge, using clinically challenging scenarios. Methods: A questionnaire designed to fulfil the above aims was distributed to a wide range of clinicians across paediatric disciplines and primary care. Results: The questionnaire was returned by 306 clinicians. General practitioners and paediatric endocrinologists were more confident in management and were more likely to self-manage patients (p < 0.01). The oral contraceptive pill was the most frequently chosen first-line therapy by all clinicians, followed by transdermal oestrogen/progesterone, etonorgestrel implant, progesterone-only pills, levonorgestrel-intrauterine system and depot medroxyprogesterone acetate injections. General, community and subspecialist paediatricians were more likely to choose suboptimal management strategies for each of five clinical scenarios. Conclusions: Low confidence levels, suboptimal therapy choices and high referral rates are common among general paediatricians, community paediatricians and subspecialists for adolescents with menstrual and reproductive health concerns. Targeted education for these clinician groups, towards optimizing management for these patients, would enhance care.

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“…There is some evidence that adolescent girls with a serious chronic condition may be at even greater risk for becoming pregnant. 1 In some cases, medications taken for certain chronic conditions may alter the effectiveness of hormonal contraception, and pregnancy in these cases may pose substantial risks to the mother as well as her fetus.…”

mentioning

confidence: 99%

“…Approximately 10% of all children and adolescents will have experienced a serious chronic physical disorder by the age of 18 years. 1 Although prevention of adolescent pregnancy in the healthy teenager remains a challenge to the medical community, finding a safe, effective method of contraception for the chronically ill adolescent can be especially difficult.…”

mentioning

confidence: 99%

“…However, because of its lower effectiveness in preventing pregnancy, the progestin-only pill should be used in conjunction with a backup method such as condoms. 1 Although an intrauterine device (IUD) is a possibility, it is probably advisable to avoid using an IUD in the teen with a prior history of pelvic inflammatory disease or multiple sexual partners who wishes future pregnancies. Conventional methods of contraception such as condoms, foam, and diaphragm may be offered, but because of lower overall effectiveness, a more reliable method is often used in conjunction.…”

mentioning

confidence: 99%

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Contraceptive Choices in Medically Ill Adolescents

Heroux

2003

Semin Reprod Med

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More than 50% of all women in the United States have had sexual intercourse by 18 years of age. Up to one half of these adolescents do not use contraception at first intercourse. Although chronically ill adolescents may differ slightly from these norms, such differences are probably minor. Prevention of adolescent pregnancy remains a challenge in the medical community, and this can be especially difficult for the chronically ill adolescent. In some cases, medications taken for certain chronic conditions may alter the effectiveness of hormonal contraception, and pregnancy in these cases may pose substantial risks to the mother as well as her fetus.

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Contraceptive use in the chronically Ill adolescent female. Part II

Cited by 13 publications

References 191 publications

Reproductive health in males with cystic fibrosis: knowledge, attitudes, and experiences of patients and parents

Reproductive health in males with cystic fibrosis: knowledge, attitudes, and experiences of patients and parents

Exploring Clinician Confidence in the Management of Adolescent Menstrual and Reproductive Health Problems

Contraceptive Choices in Medically Ill Adolescents

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