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Contraception

  • Helen H. Kim
  • Sabrina Holmquist
Chapter

Abstract

Unplanned and teen pregnancies have important public health consequences and may be particularly deleterious in women with endocrine disease. Given the risks of unplanned pregnancy, particularly in teens with endocrine disorders, it is imperative to address contraception with these patients. There are many forms of hormonal and nonhormonal contraception available, and each contraceptive method has its own set of advantages and limitations. Because hormonal methods are metabolically active, it is necessary to consider the possible interactions with the patient’s disease or medical treatment. The selection of a contraceptive method for patients with endocrine disorders may require additional considerations. There are also special considerations for the obese adolescent.

Generally, the adolescent population is low risk, and these additional considerations should not be a deterrent to the use of hormonal contraception. Hormonal contraceptive methods may be particularly well-suited for adolescents since contraindications, such as risk factors for cardiovascular disease, are rarely seen. In addition to providing reliable contraception, hormonal methods also provide many noncontraceptive health benefits, including protection from certain cancers. Hormonal contraceptive methods have been used in management of acne, hirsutism, and irregular menstrual cycles, which may be particularly relevant for adolescents with endocrine disorders. Long-acting methods, such as IUDs, have extremely low failure rates and fewer systemic side effects and may be particularly beneficial for adolescents with endocrine disorders.

Keywords

Contraception IUD Oral contraceptive pills Combined hormonal contraception DMPA Etonogestrel implant Emergency contraception Contraception benefits 

Notes

Acknowledgment

The authors wish to thank Amy K. Whitaker, MD, for her contribution to this chapter in the previous edition.

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Section of Reproductive Endocrinology and Infertility, Department of Obstetrics and GynecologyThe University of ChicagoChicagoUSA
  2. 2.Section of Family Planning and Contraceptive Research, Department of Obstetrics and GynecologyThe University of ChicagoChicagoUSA

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