Organon Laboratories Award - Oral Presentation Award: Screening for genital <I>Chlamydia trachomatis</I> in teenagers attending a family planning youth clinic: A prevalence study using a strand displacement assay on urine samples

Abstract

Wong et al ConclusionsThe option of a medical abortion was not offered by 32% of the clinics sampled. The average leaflet provided only half the possible information about benefits, risks and general procedures. Only half the leaflets were the equivalent of the Daily Mail readability ease, accessible by 83% of the British population.The written information supplied by service providers to support women's choices about abortion method is not sufficient to enable informed decision making. 6 Recommendations 1. Accurate, complete and readable information about abortion choices should be written by service providers. 2. Leaflets should be evaluated by (a) a standard of information quality and (b) a measure assessing decision facilitation. 3. The leaflet contents should be regularly updated in the light of changing technologies and findings of their effectiveness.

An exploration of the relationship between youth assets and engagement in risky sexual behaviors

“…Although some statistics related to risky sexual behaviors among youth have improved over the last 5 years (e.g., U.S. birth rate) [1,2], other statistics such as the prevalence and incidence of sexually transmitted infections (STIs) indicate that adolescents continue to engage in risky sexual behaviors [3,4]. Results from the 1999 National Youth Risk Behavior Survey (YRBS) indicate that 49.9% of all students surveyed in grades 9 -12 have had sexual intercourse.…”

Mirena<SUP>®</SUP> IUS and ovarian function

“…One positive chlamydia result was less than the figure expected from local and national prevalence figures of 3-12%. 1,2 Risk of infection can be discussed in the consultation to exclude those who are symptomatic for pelvic inflammatory disease or at high risk of acquiring an STI. We believe pre-IUD counselling helps clients most at risk of chlamydial infection to choose not to have an IUD fitted, even if the patient withholds relevant information (the informed user being a sensible user).…”

“…2 According to the NICE guidelines, "The incomplete suppression of ovarian activity in LNG-IUS users is a recipe not only for erratic bleeding, but also for the development of ovarian follicular cysts". 1 As stated in the Summary of Product Characteristics for the Mirena ® IUS, functional ovarian cysts have been diagnosed in about 10-12% of patients. 3 In most cases they are small and asymptomatic, and disappear spontaneously.…”

“…"The IUS may be used by adolescents … nulliparous women …women of all ages may use the IUS". 1 It is likely that the frequency of IUS use will significantly increase from its current level (1%). 1 Indeed, our service is actively promoting long-acting reversible contraception and the IUS in particular.…”

“…The most common reasons for discontinuation are unacceptable vaginal bleeding and pain. 1 Cost effectiveness and utility for the patient are also affected by the way IUS-induced ovarian cysts are investigated. Functional ovarian cysts are infrequent in women not using hormonal contraception or in women on combined oral contraception.…”